Individual provider Active NPI

Monica Liliana Varela, DDS, AEGD

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1477814689
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 19700 Issued in FL
Practice address
1096 Cypress Pkwy
Kissimmee, FL 34759-3328
Phone
(407) 933-8222
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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 DN 19700 FL Primary

Addresses

Primary practice location

1096 Cypress Pkwy
Kissimmee, FL 34759-3328

Mailing address

926 Great Pond Dr Ste 2003
Altamonte Springs, FL 32714-7244

Other identifiers 1

IdentifierTypeStateIssuer
005918800MedicaidFL

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
I20150529000396 FL Order and Referring Only - DentistPractitioner - Dentist 1658691803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 19700FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Just Breath Sleep Dentistry LLC CurrentSince Sep 6, 2020 Accepting new patients
Greenberg Dental & Orthodontics PA Current Accepting new patients
Just Breath Sleep Dentistry LLC CurrentSince Aug 12, 2020 Accepting new patients

Locations

926 Great Pond Dr
Ste 2003
Altamonte Springs, FL 32714
Phone (407) 788-6533

1096 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 933-8222

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1477814689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR STE 2003",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593328",
            "telephone_number": "407-933-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "MONICA",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "DDS, AEGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005918800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.