Organization Active NPI

Smile Concepts Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Apopka, FL
National Provider Identifier
1891152633
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN18362 Issued in FL
Legal business name
SMILE CONCEPTS ORTHODONTICS
Practice address
551 N Park Ave
Suite a
Apopka, FL 32712-3655
Phone
(407) 703-8330
Fax
(407) 703-8339
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Keisha Alexander, D.D.S., M.S.
Title
President
Phone
(407) 779-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN18362 FL Primary

Addresses

Primary practice location

551 N Park Ave
Suite a
Apopka, FL 32712-3655

Mailing address

551 N Park Ave
Suite a
Apopka, FL 32712-3655
Phone (407) 703-8330

National Provider Directory

National Provider Directory
Tax ID family
Amazing Smiles Studio Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

551 N Park Ave
Ste A
Apopka, FL 32712
Phone (407) 703-8330

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1891152633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N PARK AVE",
            "address_2": "SUITE A",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123655",
            "telephone_number": "407-703-8330",
            "fax_number": "407-703-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N PARK AVE",
            "address_2": "SUITE A",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123655",
            "telephone_number": "407-703-8330",
            "fax_number": "407-703-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CONCEPTS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-779-0244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN18362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.