Organization Active NPI

East Orange Endodontics

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1952731887
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EAST ORANGE ENDODONTICS
Practice address
10800 Dylan Loren Cir
Suite 103
Orlando, FL 32825-4437
Phone
(407) 704-7863
Fax
(321) 248-0330
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Mr. Mauricio ChavarriagaNPI 1669661153
Title
DDS
Phone
(407) 704-7863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10800 Dylan Loren Cir
Suite 103
Orlando, FL 32825-4437

Mailing address

10800 Dylan Loren Cir
Suite 103
Orlando, FL 32825-4437
Phone (407) 704-7863

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1952731887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 DYLAN LOREN CIR",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254437",
            "telephone_number": "407-704-7863",
            "fax_number": "321-248-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 DYLAN LOREN CIR",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254437",
            "telephone_number": "407-704-7863",
            "fax_number": "321-248-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORANGE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIAGA",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "407-704-7863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 13, 2013; 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.