Active NPI
Sirin Thanasasavat, DMD
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1437347101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17989
- Practice address
- 8010 Sunport Dr Ste 115
Orlando, FL 32809-7897 - Phone
- (407) 412-7887
- Fax
- (407) 930-2758
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN17989 | FL | Primary |
Addresses
Primary practice location
8010 Sunport Dr Ste 115
Orlando, FL 32809-7897
Mailing address
8010 Sunport Dr Ste 115
Orlando, FL 32809-7897
Phone (407) 412-7887
Other practice location 1
945 City Plaza Way Suite #1051
Oviedo, FL 32765
Phone (407) 542-8383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076828600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17989 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sirin Thanasasavat, DMD PA | General Practice | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Orlando, FL
- NPI 1104311331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1437347101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 SUNPORT DR STE 115",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097897",
"telephone_number": "407-412-7887",
"fax_number": "407-930-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 SUNPORT DR STE 115",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097897",
"telephone_number": "407-412-7887",
"fax_number": "407-930-2758"
}
],
"practiceLocations": [
{
"address_1": "945 City Plaza Way Suite #1051",
"address_purpose": "LOCATION",
"city": "Oviedo",
"state": "FL",
"postal_code": "32765",
"country_code": "US",
"telephone_number": "407-542-8383",
"fax_number": "407-542-5735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THANASASAVAT",
"first_name": "SIRIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076828600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.