Organization Active NPI

The Loop Endodontics LLC

  • Endodontics
  • Kissimmee, FL
National Provider Identifier
1578052494
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20971 Issued in FL
Legal business name
THE LOOP ENDODONTICS LLC
Practice address
1106 Cypress Glen Cir
Kissimmee, FL 34741-7559
Phone
(407) 627-0424
Fax
(407) 264-8434
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Lina M Cortes, DDSNPI 1366878902
Title
Endodontist
Phone
(407) 627-0424

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 20971 FL Primary

Addresses

Primary practice location

1106 Cypress Glen Cir
Kissimmee, FL 34741-7559

Mailing address

1106 Cypress Glen Cir
Kissimmee, FL 34741-7559
Phone (407) 627-0424

National Provider Directory

National Provider Directory

Locations

1106 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 627-0424

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1578052494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417559",
            "telephone_number": "407-627-0424",
            "fax_number": "407-264-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417559",
            "telephone_number": "407-627-0424",
            "fax_number": "407-264-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOOP ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "407-627-0424",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "20971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.