Individual provider Active NPI

Ovy Quintanal, DDS, MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1144717240
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN23828 Issued in FL
Practice address
2300 NE 9TH St
Fort Lauderdale, FL 33304-3587
Phone
(954) 737-2300
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23828 FL
Dentist 122300000X 10693 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10693 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN23828 FL Primary

Addresses

Primary practice location

2300 NE 9TH St
Fort Lauderdale, FL 33304-3587

Mailing address

421 SW 58TH Ave
Plantation, FL 33317-3553
Phone (305) 951-0850

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
I20190207001394 FL Order and Referring Only - DentistPractitioner - Dentist 7911245402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10693TNMDSocial Worker
DN23828FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Orthodontics PA Orthodontics and Dentofacial Orthopedics CurrentSince Nov 19, 2023 Accepting new patients
Ilan M Abramowitz, DMD, Cags Orthodontics and Dentofacial Orthopedics PastSince Aug 1, 2019 Accepting new patients
Progressive Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics PastSince Aug 1, 2019 Accepting new patients

Locations

2300 NE 9th St
Ft Lauderdale, FL 33304
Phone (954) 566-1281

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1144717240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SW 58TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173553",
            "telephone_number": "305-951-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NE 9TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043587",
            "telephone_number": "954-737-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANAL",
        "first_name": "OVY",
        "credential": "DDS, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-11-17",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23828",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10693",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "10693",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN23828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.