Individual provider Active NPI

Saajan Vemala, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1922837848
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29462 Issued in FL
Practice address
4401 S Orange Ave Ste 106
Orlando, FL 32806-6968
Phone
(407) 851-2255
NPI assigned
Jul 30, 2024
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29462 FL Primary

Addresses

Primary practice location

4401 S Orange Ave Ste 106
Orlando, FL 32806-6968

Mailing address

310 N Orange Ave Apt 625
Orlando, FL 32801-2092

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
I20250804002300 FL Order and Referring Only - DentistPractitioner - Dentist 3779091426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29462FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, PA CurrentSince Aug 4, 2024 Accepting new patients
Coast Florida P.a. Dentist CurrentSince Dec 28, 2025 Accepting new patients
Coast Florida P.a. Dentist PastSince Dec 28, 2025 Accepting new patients

Locations

1110 Blackwood Ave
Ocoee, FL 34761
Phone (407) 295-6993

4401 S Orange Ave
Ste 106
Orlando, FL 32806
Phone (407) 851-2255

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1922837848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N ORANGE AVE APT 625",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S ORANGE AVE STE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066968",
            "telephone_number": "407-851-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMALA",
        "first_name": "SAAJAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.