Active NPI
Ovy Quintanal, DDS, MDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Lauderdale, FL
National Provider Identifier
1144717240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN23828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190207001394 | FL | Order and Referring Only - Dentist | 7911245402 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10693 | TN | MD | Social Worker |
| DN23828 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Orthodontics PA | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Ilan M Abramowitz, DMD, Cags | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Progressive Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Lauderdale, FL
- NPI 1639862295
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bartow, FL
- NPI 1538548482
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bartow, FL
- NPI 1083945711
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.