NPIMap

Organization Active NPI

Pine Dental Health, PA

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1881053965
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19149 Issued in FL
Legal business name
PINE DENTAL HEALTH, PA
Practice address
1429 N Pine Hills Rd
Orlando, FL 32808-4424
Phone
(407) 290-9568
Fax
(407) 290-9772
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Kap S Han
Title
Vice President
Phone
(407) 290-9568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN19149 FL Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN14401 FL

Addresses

Primary practice location

1429 N Pine Hills Rd
Orlando, FL 32808-4424

Mailing address

1429 N Pine Hills Rd
Orlando, FL 32808-4424
Phone (407) 290-9568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1881053965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084424",
            "telephone_number": "407-290-9568",
            "fax_number": "407-290-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084424",
            "telephone_number": "407-290-9568",
            "fax_number": "407-290-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE DENTAL HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "KAP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-290-9568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19149",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14401",
            "primary": false
        }
    ],
    "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 Feb 17, 2016; 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.