Active NPI
Daniel Travis Quevedo, DDS
- General Practice Dentistry
- Longwood, FL
National Provider Identifier
1821092172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 14775
- Practice address
- 505 Wekiva Springs Rd
Ste 100
Longwood, FL 32779-6050 - Phone
- (407) 786-2552
- NPI assigned
- Jun 1, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 14775 | FL | Primary |
Addresses
Primary practice location
505 Wekiva Springs Rd
Ste 100
Longwood, FL 32779-6050
Mailing address
505 Wekiva Springs Rd
Ste 100
Longwood, FL 32779-6050
Phone (407) 786-2552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN 14775 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 14775 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dental Care of Longwood PL | Past | Accepting new patients |
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.
-
- Dentist
- Longwood, FL
- NPI 1407116353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821092172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WEKIVA SPRINGS RD",
"address_2": "STE 100",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327796050",
"telephone_number": "407-786-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WEKIVA SPRINGS RD",
"address_2": "STE 100",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327796050",
"telephone_number": "407-786-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEVEDO",
"first_name": "DANIEL",
"middle_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 14775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DN 14775",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.