Organization Active NPI

Sigma Dental of Kissimmee, LLC

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1790933554
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SIGMA DENTAL OF KISSIMMEE, LLC
Practice address
2102 E Osceola Pkwy
Suites 2102-2104
Kissimmee, FL 34743-8630
Phone
(407) 931-3962
Fax
(407) 932-0800
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Miss Fabiola Elena Soprano
Title
General Manager
Phone
(407) 451-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2102 E Osceola Pkwy
Suites 2102-2104
Kissimmee, FL 34743-8630

Mailing address

2102 E Osceola Pkwy
Suites 2102-2104
Kissimmee, FL 34743-8630
Phone (407) 201-3998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1790933554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 E OSCEOLA PKWY",
            "address_2": "SUITES 2102-2104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438630",
            "telephone_number": "407-201-3998",
            "fax_number": "407-931-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E OSCEOLA PKWY",
            "address_2": "SUITES 2102-2104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438630",
            "telephone_number": "407-931-3962",
            "fax_number": "407-932-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA DENTAL OF KISSIMMEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "SOPRANO",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "407-451-5866",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.