Individual provider Active NPI

Geoffrey Herman Israel Rintel, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeland, FL
National Provider Identifier
1295145365
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN22379 Issued in FL
Practice address
2150 Harden Blvd
Lakeland, FL 33803
Phone
(863) 665-8878
Fax
(863) 665-1096
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN22379 FL Primary

Addresses

Primary practice location

2150 Harden Blvd
Lakeland, FL 33803

Mailing address

2150 Harden Blvd
Lakeland, FL 33803
Phone (863) 665-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160708001578 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466744693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22379FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Implant Specialists of Florida, PA Oral and Maxillofacial Surgery CurrentSince Jan 12, 2025 Accepting new patients
Musser & Richards L L C PastSince Jan 12, 2025 Accepting new patients

Locations

2150 Harden Blvd
Lakeland, FL 33803
Phone (863) 665-8878

Interoperability endpoints

  • Direct secure messaging: grintel417076@direct.hfhs.org

Organizations & group practices 2

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1295145365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-665-8878",
            "fax_number": "863-665-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-665-8878",
            "fax_number": "863-665-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINTEL",
        "first_name": "GEOFFREY",
        "middle_name": "HERMAN ISRAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN22379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.