Organization Active NPI

Ekos Lake Nona, PLLC

Doing business as Nona Dental Arts

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1851125264
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EKOS LAKE NONA, PLLC
Doing business as
Nona Dental Arts
Practice address
9436 Narcoossee Rd
Orlando, FL 32827-5705
Phone
(321) 300-2235
NPI assigned
Aug 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Gio Dejesus
Title
Operations
Phone
(813) 340-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9436 Narcoossee Rd
Orlando, FL 32827-5705

Mailing address

8794 Boynton Beach Blvd Ste 218
Boynton Beach, FL 33472-4469

Other names 1

  • Nona Dental Arts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1851125264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD STE 218",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 NARCOOSSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275705",
            "telephone_number": "321-300-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKOS LAKE NONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "GIO",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "813-340-0116"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nona Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2024; 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.