Active NPI
James Brian Logsdon, D.D.S.
- Endodontics
- Oviedo, FL
National Provider Identifier
1780945725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN 19892
- Practice address
- 35 Windsormere Way
Oviedo, FL 32765-6592 - Phone
- (407) 890-9116
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN 19892 | FL | Primary |
Addresses
Primary practice location
35 Windsormere Way
Oviedo, FL 32765-6592
Mailing address
35 Windsormere Way
Oviedo, FL 32765-6592
Phone (407) 890-9116
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170524002402 | FL | Order and Referring Only - Dentist | 7719254606 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19892 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oviedo Endodontics, P.L.L.C. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Oviedo, FL
- NPI 1508311952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1780945725",
"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": "407-890-9116"
},
{
"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": "407-890-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "JAMES",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN 19892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.