Individual provider Active NPI

Milena Diaz, DDS

  • Dentist
  • Orlando, FL
National Provider Identifier
1982083788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22828 Issued in FL
Practice address
1601 N Goldenrod Rd
Orlando, FL 32807-8308
Phone
(407) 382-8038
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22828 FL Primary

Addresses

Primary practice location

1601 N Goldenrod Rd
Orlando, FL 32807-8308

Mailing address

1601 N Goldenrod Rd
Orlando, FL 32807-8308
Phone (407) 382-8038

Other practice location 1

500 Gypsy Lane
Youngstown, OH 44501
Phone (330) 884-3058

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
I20171003005416 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527363761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CMV Family Dental LLC Dentist PastSince Jul 24, 2022 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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982083788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078308",
            "telephone_number": "407-382-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328078308",
            "telephone_number": "407-382-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Lane",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44501",
            "country_code": "US",
            "telephone_number": "330-884-3058",
            "fax_number": "330-884-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MILENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.