Individual provider Active NPI

Edwin Szczepanik, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1992875280
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8437 Issued in FL
Practice address
7758 Wallace Rd
Suite III
Orlando, FL 32819-7219
Phone
(407) 352-6888
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DN8437 FL
Dentist 122300000X DN8437 FL Primary

Addresses

Primary practice location

7758 Wallace Rd
Suite III
Orlando, FL 32819-7219

Mailing address

7758 Wallace Rd
Suite III
Orlando, FL 32819-7219
Phone (407) 352-6888

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
I20160405001096 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729258421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN8437FLMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin John Szczepanik Dentist CurrentSince Apr 1, 1981 Accepting new patients
Edwin J Szczepanik DMD Dentist Current Accepting new patients
Edwin John Szczepanik Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

7758 Wallace Rd
Ste Iii
Orlando, FL 32819
Phone (407) 352-6888

Organizations & group practices 3

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1992875280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 WALLACE RD",
            "address_2": "SUITE III",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197219",
            "telephone_number": "407-352-6888",
            "fax_number": "407-352-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 WALLACE RD",
            "address_2": "SUITE III",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197219",
            "telephone_number": "407-352-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZEPANIK",
        "first_name": "EDWIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DN8437",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.