Organization Active NPI

Econ Dental PLLC

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1457593014
Registry record updated Mar 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17231 Issued in FL
Legal business name
ECON DENTAL PLLC
Practice address
3823 N Econlockhatchee TRL Unit D-4
Orlando, FL 32817-1640
Phone
(321) 972-8312
NPI assigned
Mar 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2009

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

Authorized official

Name
Dr. Luis Carmelo Gaud, DMD
Title
President
Phone
(321) 972-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17231 FL Primary

Addresses

Primary practice location

3823 N Econlockhatchee TRL Unit D-4
Orlando, FL 32817-1640

Mailing address

2529 Black Lake Blvd
Winter Garden, FL 34787-4756
Phone (321) 972-8312

Other identifiers 2

IdentifierTypeStateIssuer
1013926377OtherPRNPI DR. OMAYRA TORRES
1386845725OtherPRNPI DR. LUIS C. GAUD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238284800000",
    "number": "1457593014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 BLACK LAKE BLVD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874756",
            "telephone_number": "321-972-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 N ECONLOCKHATCHEE TRL UNIT D-4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171640",
            "telephone_number": "321-972-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A",
        "authorized_official_last_name": "GAUD",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "CARMELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-972-8312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. OMAYRA TORRES",
            "identifier": "1013926377",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  DR. LUIS C. GAUD",
            "identifier": "1386845725",
            "state": "PR"
        }
    ],
    "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 Mar 29, 2009; 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.