Individual provider Active NPI

Maryam Louis Karo, DDS

  • General Practice Dentistry
  • Tavares, FL
National Provider Identifier
1679250898
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28445 Issued in FL
Practice address
1941 Salk Ave
Tavares, FL 32778-4306
Phone
(352) 357-4588
NPI assigned
Jun 29, 2023
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN28445 FL Primary

Addresses

Primary practice location

1941 Salk Ave
Tavares, FL 32778-4306

Mailing address

11526 Via Lucerna Cir
Windermere, FL 34786-6076
Phone (586) 863-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN28445FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry of Tavares Dentist CurrentSince Jul 13, 2025 Accepting new patients
Smile Solutions LLC General Practice PastSince Jul 1, 2023 Accepting new patients
Sensational Smiles Dentistry, PC General Practice PastSince Jul 1, 2023 Accepting new patients

Locations

1941 Salk Ave
Tavares, FL 32778
Phone (321) 356-5497

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1679250898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11526 VIA LUCERNA CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866076",
            "telephone_number": "586-863-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784306",
            "telephone_number": "352-357-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARO",
        "first_name": "MARYAM",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.