Individual provider Active NPI

Alla Bizanti, BDS

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1710625694
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27246 Issued in FL
Practice address
2907 Vineland Rd
Kissimmee, FL 34746-5505
Phone
(407) 396-1288
NPI assigned
May 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27246 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2907 Vineland Rd
Kissimmee, FL 34746-5505

Mailing address

2907 Vineland Rd
Kissimmee, FL 34746-5505

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
DN27246FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All Dental Stars LLC Current Accepting new patients
Coast Florida P.a. CurrentSince May 29, 2022 Accepting new patients
Coast Florida P.a. PastSince May 29, 2022 Accepting new patients

Locations

2907 Vineland Rd
Kissimmee, FL 34746
Phone (407) 396-1288

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1710625694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 VINELAND RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 VINELAND RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465505",
            "telephone_number": "407-396-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZANTI",
        "first_name": "ALLA",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27246",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.