NPIMap

Organization Active NPI

Orlando Dental Sleep Medicine Incorporated

  • Dentist
  • Winter Park, FL
National Provider Identifier
1639464852
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15265 Issued in FL
Legal business name
ORLANDO DENTAL SLEEP MEDICINE INCORPORATED
Practice address
1350 Orange Ave
#106
Winter Park, FL 32789-4945
Phone
(407) 647-1744
Fax
(407) 647-0139
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Zachary William Hodgins, DMDNPI 1699840330
Title
Owner/Dentist
Phone
(407) 647-1744

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15265 FL Primary
Customized Equipment (DME) 332BC3200X 15265 FL

Addresses

Primary practice location

1350 Orange Ave
#106
Winter Park, FL 32789-4945

Mailing address

1350 Orange Ave
#106
Winter Park, FL 32789-4945
Phone (407) 647-1744

National Provider Directory

National Provider Directory

Locations

1350 Orange Ave
Ste 106
Winter Park, FL 32789
Phone (407) 647-1744

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": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1639464852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 ORANGE AVE",
            "address_2": "#106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894945",
            "telephone_number": "407-647-1744",
            "fax_number": "407-647-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ORANGE AVE",
            "address_2": "#106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894945",
            "telephone_number": "407-647-1744",
            "fax_number": "407-647-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO DENTAL SLEEP MEDICINE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "HODGINS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "407-647-1744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "15265",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "15265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.