AUDREY ALANNA PORT DMD
NPI 1184247025
Dentist - General Practice in Orlando, FL

Q: What is Audrey Port's NPI number?

The NPI number for Audrey Port is 1184247025. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Audrey Port's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Port was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2020PECOS Enrolled

3502 AVALON PARK WEST BLVD, ORLANDO, FL 32828(407) 392-9868 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2021, May 27, 2020 (2 updates tracked since 2020).

On this page

About Audrey Alanna Port Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY ALANNA PORT DMD (NPI 1184247025) is an individual general practice provider in Orlando, Florida, licensed in Florida (DN25212) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184247025

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameAUDREY ALANNA PORTCredential: DMD

Location Address3502 AVALON PARK WEST BLVDOrlando, FL 32828-7859

Mailing Address12455 Nature East DrOrlando, FL 32828-8049 · (804) 432-9728

Phone(407) 392-9868

Sole ProprietorYes

Enumeration DateMay 27, 2020

Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration

NPPES CertifiedJuly 7, 2021

✔ NPI 1184247025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN25212

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3502 AVALON PARK WEST BLVD, Orlando, FL 32828

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Alanna Port Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32828 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUY PHAN

Dentist

3502 AVALON PARK WEST BLVD
ORLANDO, FL 32828

Orange County (407) 374-2480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Port's NPI number?

The NPI number for Audrey Port is 1184247025. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Audrey Port located?

Audrey Port practices at 3502 Avalon Park West Blvd, Orlando, FL 32828. The listed phone number is (407) 392-9868.

What is Audrey Port's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Audrey Port enrolled in Medicare?

Yes. Audrey Port is registered in the Medicare PECOS enrollment system.

What insurance does Audrey Port accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 10 other insurers list Audrey Port as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Port was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.