Omar Clor, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019.029654 Issued in IL

Practice address

655 South 7TH Street BLDG 700/700-a
78 MDG/SGHC
Robins AFB, GA 31098

Phone

(478) 497-8056

NPI assigned

Oct 1, 2013

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Dec 3, 2018 through Dec 3, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Linda Munro Psy D PA

  • Military Hospital
  • Robins AFB, GA
  • NPI 1689886137
  NPD (past)

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1255768578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CHARLOTTE DR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310054922",
            "telephone_number": "515-771-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTH 7TH STREET BLDG 700/700-A",
            "address_2": "78 MDG/SGHC",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "31098",
            "telephone_number": "478-497-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOR",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason J Cho, MD
• Andrew Christensen, DNP
• Christine Lynne Chukabarah, PH.D.
• Donelle Lamont Clark, DNP
• John W Cleaves, IDMT
• Marvin Conrad, DDS
• June Cook, MD
• Joy Parrott Cooper, PHARMD
• Rachel Lynn Cress, LAT, ATC
• Julie Christine Dambly

• Dentist in Robins AFB, GA
• Providers in Robins AFB, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.