Individual provider Active NPI

Nopparat Voaonsri, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1912359373
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 22072 Issued in FL
Practice address
8204 Crystal Clear LN Ste 600
Orlando, FL 32809-7755
Phone
(407) 239-0126
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 22072 FL Primary

Addresses

Primary practice location

8204 Crystal Clear LN Ste 600
Orlando, FL 32809-7755

Mailing address

8204 Crystal Clear LN Ste 600
Orlando, FL 32809-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011003240 FL Order and Referring Only - DentistPractitioner - Dentist 3173811908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 22072FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1912359373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 CRYSTAL CLEAR LN STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 CRYSTAL CLEAR LN STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097755",
            "telephone_number": "407-239-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOAONSRI",
        "first_name": "NOPPARAT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.