Pediatric Dentistry of Horizon West LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF HORIZON WEST LLC

Practice address

15835 Shaddock Dr Ste 100
Winter Garden, FL 34787-5778

Phone

(407) 554-4222

Fax

(689) 407-4086

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Hany Azer, DDSNPI 1295152312

Title

Owner

Phone

(407) 554-4222

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry of Horizon West Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info@pediatricdentistryhw.com

Practitioners 1

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

• Hany S Azer, D.D.S.

  • Pediatric Dentistry
  • Winter Garden, FL
  • NPI 1295152312
  NPD Authorized official

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1881366565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 SHADDOCK DR STE 100",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875778",
            "telephone_number": "407-554-4222",
            "fax_number": "689-407-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 SHADDOCK DR STE 100",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875778",
            "telephone_number": "407-554-4222",
            "fax_number": "689-407-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF HORIZON WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-554-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@pediatricdentistryhw.com",
            "affiliation": "N",
            "address_1": "15835 Shaddock Dr Ste 100",
            "city": "Winter Garden",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347875778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Horizon West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Horizon West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.