Active NPI
Marcio Vieira Ortegosa, DDS
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1932849486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28976
- Practice address
- 849 Greenway Professional CT
Orlando, FL 32824-9482 - Phone
- (407) 905-8827
- Fax
- (407) 660-1667
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28976 | FL | Primary |
| General Practice Dentistry | 1223G0001X | DRPM2407 | FL | |
| General Practice Dentistry | 1223G0001X | 2025004676 | MO |
Addresses
Primary practice location
849 Greenway Professional CT
Orlando, FL 32824-9482
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28976 | FL | MD | General Practice Dentistry |
| DRPM2407 | FL | MD | General Practice Dentistry |
| 2025004676 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Associates, Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1932849486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "407-660-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 GREENWAY PROFESSIONAL CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328249482",
"telephone_number": "407-905-8827",
"fax_number": "407-660-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGOSA",
"first_name": "MARCIO",
"middle_name": "VIEIRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28976",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DRPM2407",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2025004676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.