NPIMap

Organization Active NPI

A&M Dental Group LLC

Doing business as Hi-5 Children's Dentistry at Lake Nona Orlando

  • Pediatric Dentistry
  • Orlando, FL
National Provider Identifier
1447726922
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
A&M DENTAL GROUP LLC
Doing business as
Hi-5 Children's Dentistry at Lake Nona Orlando
Practice address
8255 Lee Vista Blvd Ste F-G
Orlando, FL 32829-8018
Phone
(407) 810-0450
NPI assigned
Oct 22, 2018
Last updated
Oct 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Dr. Miguel Tabares, DDSNPI 1194003210
Title
MGRM
Phone
(407) 810-0467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8255 Lee Vista Blvd Ste F-G
Orlando, FL 32829-8018

Mailing address

1202 Cypress Glen Cir
Kissimmee, FL 34741-7563
Phone (407) 810-0450

Other names 1

  • HI-5 CHILDREN'S DENTISTRY AT LAKE NONA ORLANDO Doing business as

National Provider Directory

National Provider Directory

Locations

8255 Lee Vista Blvd
Ste Fg
Orlando, FL 32829
Phone (407) 810-0450

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1447726922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417563",
            "telephone_number": "407-810-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 LEE VISTA BLVD STE F-G",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298018",
            "telephone_number": "407-810-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "TABARES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-810-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HI-5 CHILDREN'S DENTISTRY AT LAKE NONA ORLANDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 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.