Organization Active NPI

Thornton Park Dental Arts, PA

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
National Provider Identifier
1851710115
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15092 Issued in FL
Legal business name
THORNTON PARK DENTAL ARTS, PA
Practice address
1200 E Robinson St
Orlando, FL 32801-2116
Phone
(407) 896-2881
Fax
(407) 897-5389
NPI assigned
Apr 15, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Mr. Michele L Wilder
Title
Office Manager
Phone
(407) 896-2881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 15092 FL Primary

Addresses

Primary practice location

1200 E Robinson St
Orlando, FL 32801-2116

Mailing address

1200 E Robinson St
Orlando, FL 32801-2116
Phone (407) 896-2881

National Provider Directory

National Provider Directory

Locations

1200 E Robinson St
Orlando, FL 32801
Phone (407) 896-2881

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1851710115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012116",
            "telephone_number": "407-896-2881",
            "fax_number": "407-897-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012116",
            "telephone_number": "407-896-2881",
            "fax_number": "407-897-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNTON PARK DENTAL ARTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-896-2881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "15092",
            "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 Apr 15, 2014; 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.