Alexander Leyte-Vidal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN-0014758 Issued in FL

Practice address

35 Windsormere Way
Oviedo, FL 32765-6592

Phone

(407) 971-4444

Fax

(407) 971-6333

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Practice roles

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.

• Vraj Medical LLC

  dba Frontline Primary Care

  • Internal Medicine Physician
  • Oviedo, FL
  • NPI 1265055412
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1750341046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WINDSORMERE WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656592",
            "telephone_number": "407-971-4444",
            "fax_number": "407-971-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WINDSORMERE WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656592",
            "telephone_number": "407-971-4444",
            "fax_number": "407-971-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYTE-VIDAL",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN-0014758",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Mark Leslie, LMHC, FL-CSPV.
• Gloria Leung
• Hannah Morgan Lewis, DPT
• Katherine Lewis, PT DPT
• Rhonda Lewis, MA CCC-SLP
• Life Solutions Counseling LLC
• Lightning O&P Inc.
• Holly Marie Lindberg, M.D.
• Juliana Linnehan
• Lisa Tipton, LLC (Finish Strong Physical Therapy)

• Dentist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.