Individual provider Active NPI

Cara Overbeck, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Venice, FL
National Provider Identifier
1326156324
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN 10080 Issued in FL
Practice address
1040 E Venice Ave
Venice, FL 34285-7162
Phone
(941) 488-8788
Fax
(941) 488-5788
NPI assigned
Aug 29, 2006
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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 DN 10080 FL Primary

Addresses

Primary practice location

1040 E Venice Ave
Venice, FL 34285-7162

Mailing address

1040 E Venice Ave
Venice, FL 34285-7162
Phone (941) 488-8788

Medicare participation

Medicare enrollment files
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 Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 10080FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Cara Overbeck DDS PA Oral and Maxillofacial Surgery PastSince Mar 19, 2004 Accepting new patients
Cara Overbeck DDS PA Oral and Maxillofacial Surgery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1326156324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857162",
            "telephone_number": "941-488-8788",
            "fax_number": "941-488-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857162",
            "telephone_number": "941-488-8788",
            "fax_number": "941-488-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBECK",
        "first_name": "CARA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.