FABIOLA MARIA DOUGLAS DDS
NPI 1831753052
Dentist - Endodontics in Kissimmee, FL

Active since April 23, 2019Opted out of Medicare · through Nov 2, 2027
909 N CENTRAL AVE, KISSIMMEE, FL 34741(407) 933-0885(407) 933-0520 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fabiola Maria Douglas Dds NPPES

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

FABIOLA MARIA DOUGLAS DDS (NPI 1831753052) is an individual endodontics provider in Kissimmee, Florida, licensed in Florida (DN25777) and active in the NPI registry since April 2019. She has opted out of Medicare through November 2, 2027.

NPPES Registry Identity

NPI1831753052
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameFABIOLA MARIA DOUGLASCredential: DDS
Location Address909 N CENTRAL AVEKissimmee, FL 34741-5029
Mailing Address909 N Central AveKissimmee, FL 34741-5029 · (407) 933-0885 · Fax (407) 933-0520
Fax(407) 933-0520
Sole ProprietorYes
Enumeration DateApril 23, 2019
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1831753052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in FL · DN25777
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

909 N CENTRAL AVE, Kissimmee, FL 34741

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Fabiola Maria Douglas Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 2, 2021 through November 2, 2027.

Opt-Out Effective DateNovember 2, 2021
Opt-Out In Effect ThroughNovember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Prosthetic/Orthotic Supplier
909 N CENTRAL AVE
KISSIMMEE, FL 34741
Clinic/Center (Dental)
909 N CENTRAL AVE
KISSIMMEE, FL 34741
Dentist (Endodontics)
909 N CENTRAL AVE
KISSIMMEE, FL 34741

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 Fabiola Douglas's NPI number?

The NPI number for Fabiola Douglas is 1831753052. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Fabiola Douglas located?

Fabiola Douglas practices at 909 N Central Ave, Kissimmee, FL 34741. The listed phone number is (407) 933-0885.

What is Fabiola Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Fabiola Douglas enrolled in Medicare?

No. Fabiola Douglas has opted out of Medicare through November 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Fabiola Douglas 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 13 other insurers list Fabiola Douglas 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 Fabiola Douglas was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.