NPIMap

Organization Active NPI

Metrowest Dental Care ,Corp

Doing business as Orthoimplant Dental Clinic Family Dentistry

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1467032524
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
METROWEST DENTAL CARE ,CORP
Doing business as
Orthoimplant Dental Clinic Family Dentistry
Practice address
1507 S Hiawassee Rd Ste 209
Orlando, FL 32835-5719
Phone
(407) 286-4750
Fax
(407) 286-4732
NPI assigned
Apr 13, 2021
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Dr. Luz Aida Ospina, DDSNPI 1881181501
Title
Owner
Phone
(208) 312-0190

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1507 S Hiawassee Rd Ste 209
Orlando, FL 32835-5719

Mailing address

1507 S Hiawassee Rd Ste 209
Orlando, FL 32835-5719
Phone (407) 286-4750

Other identifiers 1

IdentifierTypeStateIssuer
23632OtherFLDENTAL LICENSE

Other names 1

  • ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@orthoimplantdentalclinic.com Direct

National Provider Directory

National Provider Directory

Locations

1507 S Hiawassee Rd
Ste 209
Orlando, FL 32835
Phone (407) 286-4750

Interoperability endpoints

  • Direct secure messaging: office@orthoimplantdentalclinic.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1467032524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355719",
            "telephone_number": "407-286-4750",
            "fax_number": "407-286-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355719",
            "telephone_number": "407-286-4750",
            "fax_number": "407-286-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST DENTAL CARE ,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "OSPINA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "AIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-312-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "23632",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@orthoimplantdentalclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1507 S Hiawassee Rd Ste 209",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328355719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY",
            "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 Jul 7, 2022; 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.