Active NPI
Luis G Acosta, DMD
- General Practice Dentistry
- Winter Park, FL
National Provider Identifier
1962570622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN14814
- Practice address
- 2001 Lee Rd Ste B
Winter Park, FL 32789-1871 - Phone
- (407) 645-4741
- Fax
- (407) 645-4721
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14814 | FL | Primary |
Addresses
Primary practice location
2001 Lee Rd Ste B
Winter Park, FL 32789-1871
Mailing address
2001 Lee Rd Ste B
Winter Park, FL 32789-1871
Phone (407) 645-4741
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250805001334 | FL | Practitioner - Dentist | 9537409560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Florida College of Dentistry, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 Lee Rd
Suite B
Winter Park, FL 32789-1871
Phone (407) 457-5337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14814 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Sleep Solutions, LLC | Current | Accepting new patients | |
| Luis G. Acosta, DMD, PA | General Practice | Past | Accepting new patients |
Locations
2001 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 457-5337
Organizations & group practices 2
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Winter Park, FL
- NPI 1740757111
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962570622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LEE RD STE B",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891871",
"telephone_number": "407-645-4741",
"fax_number": "407-645-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LEE RD STE B",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891871",
"telephone_number": "407-645-4741",
"fax_number": "407-645-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "LUIS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.