Individual provider Active NPI

Aileen E Smith, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1841291424
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20094 Issued in FL
Practice address
4441 Hoffner Ave
Orlando, FL 32812-2331
Phone
(407) 537-0617
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20094 FL Primary

Addresses

Primary practice location

4441 Hoffner Ave
Orlando, FL 32812-2331

Mailing address

PO Box 781814
Orlando, FL 32878-1814
Phone (787) 646-0944

Other practice location 1

Padre Rivera St
Apt 54
Humacao, PR 00791
Phone (787) 852-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203000270 PR Order and Referring Only - DentistPractitioner - Dentist 9032418843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20094FLMDClinical Social Worker

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1841291424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781814",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781814",
            "telephone_number": "787-646-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 HOFFNER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122331",
            "telephone_number": "407-537-0617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Padre Rivera St",
            "address_2": "Apt 54",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "00791",
            "country_code": "US",
            "telephone_number": "787-852-1370",
            "fax_number": "787-285-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AILEEN",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "20094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.