Individual provider Active NPI

Luis G Acosta, DMD

  • General Practice Dentistry
  • Winter Park, FL
National Provider Identifier
1962570622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14814 Issued in FL
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DN14814FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Sleep Solutions, LLC CurrentSince Nov 30, 2018 Accepting new patients
Luis G. Acosta, DMD, PA General Practice PastSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.