Individual provider Active NPI

David Edward Donald, D.D.S.

  • Pediatric Dentistry
  • Longwood, FL
National Provider Identifier
1750495404
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN18170 Issued in FL
Practice address
365 Wekiva Springs Rd Ste 121
Longwood, FL 32779-3690
Phone
(321) 295-7893
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN 18170 FL
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN18170 FL Primary

Addresses

Primary practice location

365 Wekiva Springs Rd Ste 121
Longwood, FL 32779-3690

Mailing address

365 Wekiva Springs Rd Ste 121
Longwood, FL 32779-3690
Phone (321) 295-7893

Other practice location 1

1000 Executive Dr
Suite 8
Oviedo, FL 32765-8140
Phone (407) 977-9990

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
DN 18170FLMDPediatric Dentist
DN18170FLMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750495404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 121",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "321-295-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 121",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "321-295-7893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Executive Dr",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327658140",
            "country_code": "US",
            "telephone_number": "407-977-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALD",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 18170",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.