Individual provider Active NPI

Karl Meawad, DDS

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1811774102
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN30591 Issued in FL
Practice address
5820 N Orange Blossom TRL Ste 270
Orlando, FL 32810-1025
Phone
(407) 316-2661
NPI assigned
Sep 11, 2023
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 DN30591 FL Primary

Addresses

Primary practice location

5820 N Orange Blossom TRL Ste 270
Orlando, FL 32810-1025

Mailing address

950 Daylight Cir Apt 120
Lake Mary, FL 32746-5184
Phone (347) 443-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240201000927 CA Order and Referring Only - DentistPractitioner - Dentist 0749633188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN30591FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Jefferson Dental Corporation General Practice CurrentSince Sep 17, 2023 Accepting new patients

Locations

962 Sepulveda Blvd
Harbor City, CA 90710
Phone (310) 539-3245

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1811774102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DAYLIGHT CIR APT 120",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465184",
            "telephone_number": "347-443-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N ORANGE BLOSSOM TRL STE 270",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328101025",
            "telephone_number": "407-316-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAWAD",
        "first_name": "KARL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.