Nadia L Fleetwood, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 22349 Issued in FL

Practice address

13640 W Colonial Dr # 180-190
Winter Garden, FL 34787-3992

Phone

(407) 654-8211

NPI assigned

Apr 2, 2015

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Nadia L Calderon Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1700271079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E CENTRAL BLVD # 677",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011923",
            "telephone_number": "774-316-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 W COLONIAL DR # 180-190",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873992",
            "telephone_number": "407-654-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEETWOOD",
        "first_name": "NADIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019627100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "CALDERON",
            "middle_name": "L",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Loriana Fiorino
• Andaysha Fisher
• Deshon Fisher
• Jessica Anne Fix
• FL Clinical Consultants LLC
• Melanie Fleming, APRN
• Scott Alexander Fleming, MDIV, MS, NCC, HEC-C
• Lideyni J Flores, RN
• Florida Care Center Winter Garden, LLC
• Florida Hospital Medical Group Inc (Rothman Orthopaedics AdventHealth Medical Group at Winter Garden)

• General Practice Dentistry in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.