Individual provider Active NPI

Tutrinh T. DO Casano, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1760863864
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21288 Issued in FL
Practice address
1925 Prospect Ave Ste 110
Orlando, FL 32814-6454
Phone
(407) 487-8030
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 21288 FL Primary

Addresses

Primary practice location

1925 Prospect Ave Ste 110
Orlando, FL 32814-6454

Mailing address

1925 Prospect Ave Ste 110
Orlando, FL 32814-6454
Phone (407) 487-8030

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
I20150811005699 FL Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Other (Physician) 7113232737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1760863864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 PROSPECT AVE STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146454",
            "telephone_number": "407-487-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PROSPECT AVE STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146454",
            "telephone_number": "407-487-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO CASANO",
        "first_name": "TUTRINH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.