Organization Active NPI

Family Dentistry & Dental Specialists Group

  • Dentist
  • Orlando, FL
National Provider Identifier
1649510975
Registry record updated Feb 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
P96000000303 Issued in FL
Legal business name
FAMILY DENTISTRY & DENTAL SPECIALISTS GROUP
Practice address
4250 Town Center Blvd
Orlando, FL 32837-6192
Phone
(407) 856-0208
NPI assigned
Feb 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2013

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

Authorized official

Name
Dr. Manmohan Batta, BDS,MDS,MSNPI 1831310101
Title
President
Phone
(407) 421-6888

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X P96000000303 FL Primary

Addresses

Primary practice location

4250 Town Center Blvd
Orlando, FL 32837-6192

Mailing address

9336 Southern Breeze Dr
Orlando, FL 32836-5056
Phone (407) 421-6888

National Provider Directory

National Provider Directory

Locations

4250 W Town Center Blvd
Orlando, FL 32837
Phone (407) 856-0208

Practitioners & affiliated clinicians

Practitioners 3

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": "1361577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361577600000",
    "number": "1649510975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 SOUTHERN BREEZE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365056",
            "telephone_number": "407-421-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 TOWN CENTER BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376192",
            "telephone_number": "407-856-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY & DENTAL SPECIALISTS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-23",
        "last_updated": "2013-02-23",
        "status": "A",
        "authorized_official_last_name": "BATTA",
        "authorized_official_first_name": "MANMOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-421-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,MDS,MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "P96000000303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 2013; 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.