Individual provider Active NPI

Maria Hidalgo, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1821659673
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25702 Issued in FL
Practice address
611 N Magnolia Ave
Orlando, FL 32801
Phone
(407) 502-0202
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042261 PA
General Practice Dentistry 1223G0001X DN25702 FL Primary

Addresses

Primary practice location

611 N Magnolia Ave
Orlando, FL 32801

Mailing address

611 N Magnolia Ave
Orlando, FL 32801
Phone (407) 502-0202

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
DN25702FLMDGeneral Practice Dentistry
DS042261PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Your Downtown Dentistry PLLC General Practice CurrentSince Jan 14, 2024 Accepting new patients

Locations

611 N Magnolia Ave
Orlando, FL 32801
Phone (407) 502-0202

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1821659673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32801",
            "telephone_number": "407-502-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32801",
            "telephone_number": "407-502-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042261",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25702",
            "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 Dec 7, 2021; 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.