Organization Active NPI

Orlando Dental Group PA

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1821318031
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6106 Issued in FL
Legal business name
ORLANDO DENTAL GROUP PA
Practice address
7221 Chancery LN
Orlando, FL 32809-7039
Phone
(407) 855-0474
Fax
(407) 855-0197
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Kenneth E Pyle, DDS
Title
President
Phone
(407) 855-0474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3075 FL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6106 FL Primary

Addresses

Primary practice location

7221 Chancery LN
Orlando, FL 32809-7039

Mailing address

7221 Chancery LN
Orlando, FL 32809-7039
Phone (407) 855-0474

National Provider Directory

National Provider Directory

Locations

7221 Chancery Ln
Orlando, FL 32809
Phone (407) 545-8970

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1821318031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 CHANCERY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097039",
            "telephone_number": "407-855-0474",
            "fax_number": "407-855-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 CHANCERY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097039",
            "telephone_number": "407-855-0474",
            "fax_number": "407-855-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-855-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "3075",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 2010; 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.