Individual provider Active NPI

Michael D Louria, DMD

  • Endodontics
  • Winter Springs, FL
National Provider Identifier
1750335758
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
BL9211993 Issued in FL
Practice address
5738 Canton CV
Suite 100
Winter Springs, FL 32708-5037
Phone
(407) 696-0053
Fax
(407) 695-1674
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X BL9211993 FL Primary

Addresses

Primary practice location

5738 Canton CV
Suite 100
Winter Springs, FL 32708-5037

Mailing address

5738 Canton CV
Suite 100
Winter Springs, FL 32708-5037
Phone (407) 696-0053

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141222002536 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507189644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BL9211993FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750335758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 CANTON CV",
            "address_2": "SUITE 100",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085037",
            "telephone_number": "407-696-0053",
            "fax_number": "407-695-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 CANTON CV",
            "address_2": "SUITE 100",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085037",
            "telephone_number": "407-696-0053",
            "fax_number": "407-695-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURIA",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "BL9211993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.