Organization Active NPI

Godental Smile Design Center

  • Dental Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1598304537
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GODENTAL SMILE DESIGN CENTER
Practice address
221 Ruby Ave Ste C
Kissimmee, FL 34741-7201
Phone
(407) 201-2169
NPI assigned
Dec 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Authorized official

Name
Natalia A Diaz Suarez, DDS
Title
Dentist
Phone
(727) 277-4240

Specialties & licenses 1

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

Addresses

Primary practice location

221 Ruby Ave Ste C
Kissimmee, FL 34741-7201

Mailing address

221 Ruby Ave Ste C
Kissimmee, FL 34741-7201

National Provider Directory

National Provider Directory

Locations

221 Ruby Ave
Ste C
Kissimmee, FL 34741
Phone (407) 201-2169

Practitioners & affiliated clinicians

Practitioners 1

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": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1598304537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RUBY AVE STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUBY AVE STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417201",
            "telephone_number": "407-201-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODENTAL SMILE DESIGN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ SUAREZ",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "727-277-4240",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Dec 21, 2019; 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.