Organization Active NPI

Main Street Childrens Dentistry and Orthodontics of Windermere PLLC

  • Dentist
  • Orlando, FL
National Provider Identifier
1750020228
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF WINDERMERE PLLC
Practice address
7682 Dr Phillips Blvd # 200
Orlando, FL 32819-5152
Phone
(407) 783-0449
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Victoria Johnson
Title
Cro
Phone
(941) 444-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7682 Dr Phillips Blvd # 200
Orlando, FL 32819-5152

Mailing address

7682 Dr Phillips Blvd # 200
Orlando, FL 32819-5152
Phone (407) 783-0449

Other names 1

  • Dental Care Alliance Other name

National Provider Directory

National Provider Directory

Locations

7682 Dr Phillips Blvd
#200
Orlando, FL 32819
Phone (407) 783-0449

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1750020228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7682 DR PHILLIPS BLVD # 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195152",
            "telephone_number": "407-783-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7682 DR PHILLIPS BLVD # 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195152",
            "telephone_number": "407-783-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF WINDERMERE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2026; 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.