Mid Florida Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10632 Issued in FL

Legal business name

MID FLORIDA DENTAL

Practice address

809 E Oak St
Suite 101
Kissimmee, FL 34744-5834

Phone

(407) 870-5004

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Sharma, D.D.SNPI 1134212103

Title

Dentist

Phone

(407) 870-8047

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh Sharma, D.D.S.

  • General Practice Dentistry
  • Kissimmee, FL
  • NPI 1134212103
  NPD (past) Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1962704817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E OAK ST",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445834",
            "telephone_number": "407-870-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E OAK ST",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445834",
            "telephone_number": "407-870-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-870-8047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCNA",
            "identifier": "11576",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077825700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAQUEST",
            "identifier": "193694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kervin Michaud, DDS
• Tabitha Alain Michaud, MD
• Michelle Rene Condry
• Victoria Tirado Michiel, PA-C
• Mid Florida Counseling, LLC
• Mid Florida Medical and Chiropractic Center LLC
• Mid Florida Medical Specialist
• Mid Florida Woman'S Center, Inc.
• Mike Arsov MD PA
• Rebecca Abigail Miknaitis, D.O.

• General Practice Dentistry in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.