Individual provider Active NPI

Anne Chon, D.M.D.

  • General Practice Dentistry
  • Windermere, FL
National Provider Identifier
1447639463
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21737 Issued in FL
Practice address
7828 Winter Garden Vineland Rd
Suite 100
Windermere, FL 34786-5933
Phone
(407) 614-8796
Fax
(407) 614-4516
NPI assigned
May 22, 2015
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21737 FL Primary

Addresses

Primary practice location

7828 Winter Garden Vineland Rd
Suite 100
Windermere, FL 34786-5933

Mailing address

7828 Winter Garden Vineland Rd
Suite 100
Windermere, FL 34786-5933
Phone (407) 614-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830002275 FL Order and Referring Only - DentistPractitioner - Dentist 2264727254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21737FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1447639463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7828 WINTER GARDEN VINELAND RD",
            "address_2": "SUITE 100",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865933",
            "telephone_number": "407-614-8796",
            "fax_number": "407-614-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7828 WINTER GARDEN VINELAND RD",
            "address_2": "SUITE 100",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865933",
            "telephone_number": "407-614-8796",
            "fax_number": "407-614-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "ANNE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.