Organization Active NPI

Inova Smile

Doing business as Inova Smiles

  • Dentist
  • Kissimmee, FL
National Provider Identifier
1821712589
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
INOVA SMILE
Doing business as
Inova Smiles
Practice address
3280 Greenwald Way N
Kissimmee, FL 34741-0728
Phone
(866) 364-6682
Fax
(866) 716-7750
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Kayla Perez OrtizNPI 1255977823
Title
Dentist
Phone
(866) 364-6682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3280 Greenwald Way N
Kissimmee, FL 34741-0728

Mailing address

1698 Diane Ter
Deltona, FL 32725-4530
Phone (321) 366-9377

Other names 1

  • Inova Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1698 Diane Ter
Deltona, FL 32725
Phone (386) 385-1903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1821712589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 DIANE TER",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254530",
            "telephone_number": "321-366-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 GREENWALD WAY N",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410728",
            "telephone_number": "866-364-6682",
            "fax_number": "866-716-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ ORTIZ",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "866-364-6682",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inova Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.