NPIMap

Organization Active NPI

Orlando Endodontic Specialists South

  • Endodontics
  • Orlando, FL
National Provider Identifier
1659638484
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN14384 Issued in FL
Legal business name
ORLANDO ENDODONTIC SPECIALISTS SOUTH
Practice address
610 N Mills Ave
210
Orlando, FL 32803-7119
Phone
(407) 423-7667
NPI assigned
Apr 18, 2012
Organization subpart
Yes
Parent organization
ORLANDO ENDODONTIC SPECIALISTS SOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Marie Diaz
Title
Insurance Front Desk
Phone
(407) 423-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN14384 FL Primary

Addresses

Primary practice location

610 N Mills Ave
210
Orlando, FL 32803-7119

Mailing address

1956 E Osceola Pkwy
Kissimmee, FL 34743-8626
Phone (407) 581-9500

National Provider Directory

National Provider Directory
Part of
Orlando Endodontic Specialists South

Locations

1956 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 581-9500

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": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1659638484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438626",
            "telephone_number": "407-581-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MILLS AVE",
            "address_2": "210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037119",
            "telephone_number": "407-423-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO ENDODONTIC SPECIALISTS SOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORLANDO ENDODONTIC SPECIALISTS SOUTH",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "INSURANCE  FRONT DESK",
        "authorized_official_telephone_number": "407-423-7667"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN14384",
            "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 Apr 18, 2012; 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.