Orange Avenue Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ORANGE AVENUE DENTISTRY, PLLC

Practice address

2116 South Orange Ave
Orlando, FL 32806

Phone

(407) 426-9933

NPI assigned

May 25, 2018

Last updated

May 25, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Gomez

Title

Credentialing Supervisor

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirin Esmail Rawji, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1588871057
  NPD (past)
• Mateen Sheikh, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1801101134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1437640315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 SOUTH ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-426-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE AVENUE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Oramas
• Kathleen Oramas
• Orange Anesthesia Associates, Inc.
• Orange Ave Consulting
• Orange Avenue Dentistry, Inc.
• Orange Avenue Surgery Center, LLC (Orange Avenue Surgery Center)
• Orange Avenue Surgical Suite, LLC (Oasis)
• Orange Behavioral Health LLC
• Orange Blossom Injury, Health and Wellness, LLC
• Orange Counseling, PLLC

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.