Individual provider Active NPI

Luis J. Santos-Figueroa, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1821152232
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19400 Issued in FL
Practice address
5449 S Semoran Blvd, Ste 19B
Orlando, FL 32822-1778
Phone
(407) 858-1479
Fax
(407) 249-4472
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
DN19400FLMDGeneral Practice Dentistry
2434PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health PastSince Jun 25, 2023 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2434 PR
General Practice Dentistry 1223G0001X DN19400 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5449 S Semoran Blvd, Ste 19B
Orlando, FL 32822-1778

Mailing address

7113 Altis Way, Apt 215
Orlando, FL 32836-6860
Phone (561) 307-6381

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
006325900MedicaidFL
06325900MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2023.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1821152232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 ALTIS WAY, APT 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366860",
            "telephone_number": "561-307-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD, STE 19B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "407-858-1479",
            "fax_number": "407-249-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-FIGUEROA",
        "first_name": "LUIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2434",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006325900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06325900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.