Kelli Orcutt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23451 Issued in FL

Practice address

3230 Forum Blvd Ste 501
Fort Myers, FL 33905-5580

Phone

(239) 628-1300

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1063907087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SW 72ND TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143133",
            "telephone_number": "907-687-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 FORUM BLVD STE 501",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055580",
            "telephone_number": "239-628-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCUTT",
        "first_name": "KELLI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Oram, M.D.
• Orange Care LLC (Orange Rehab)
• Orange Therapy LLC
• Karen Ann Orbaker, MS NP- C FNP
• Megan Orbeck
• Andrea Ordonez
• Vanessa Ordonez, AA
• Victoria L. Orem, ARNP, CNM
• Ma Antonietta Orlang
• Christine Alexis Orlowicz

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, 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 Jun 22, 2018; 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.