Organization Active NPI

Smilexp PLLC

  • Dental Clinic/Center
  • Winter Garden, FL
National Provider Identifier
1770106411
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILEXP PLLC
Practice address
1993 Daniels Rd Ste 120
Winter Garden, FL 34787-4598
Phone
(407) 395-9335
Fax
(407) 395-8470
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Dr. Ricardo Carlo Carrillo, DN23339NPI 1174979991
Title
Dentist
Phone
(703) 341-7769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1993 Daniels Rd Ste 120
Winter Garden, FL 34787-4598

Mailing address

1993 Daniels Rd Ste 120
Winter Garden, FL 34787-4598
Phone (407) 395-9335

Other names 1

  • The Smile Home Doing business as

National Provider Directory

National Provider Directory

Locations

1993 Daniels Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 395-9335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1770106411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 DANIELS RD STE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874598",
            "telephone_number": "407-395-9335",
            "fax_number": "407-395-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 DANIELS RD STE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874598",
            "telephone_number": "407-395-9335",
            "fax_number": "407-395-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEXP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "CARLO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-341-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN23339"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.