Individual provider Active NPI

David Lach, D.D.S,M.S.,P.A.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oviedo, FL
National Provider Identifier
1881759470
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN12168 Issued in FL
Practice address
4250 Alafaya TRL
Suite 180
Oviedo, FL 32765-9412
Phone
(407) 359-1960
Fax
(407) 359-2958
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5820 NC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN12168 FL Primary

Addresses

Primary practice location

4250 Alafaya TRL
Suite 180
Oviedo, FL 32765-9412

Mailing address

4250 Alafaya Trail
Suite 180
Oveido, FL 32765
Phone (407) 359-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN12168FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1881759470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRAIL",
            "address_2": "SUITE 180",
            "city": "OVEIDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-359-1960",
            "fax_number": "407-359-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRL",
            "address_2": "SUITE 180",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659412",
            "telephone_number": "407-359-1960",
            "fax_number": "407-359-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S,M.S.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5820",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN12168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.