Rodolfo Ibarria

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859811 Issued in MA

Practice address

4076 Cattlemen Rd
Sarasota, FL 34233-5033

Phone

(786) 372-5094

NPI assigned

Jan 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oralmed LLC

  • Dental Clinic/Center
  • Sarasota, FL
  • NPI 1194513135
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1366158792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335033",
            "telephone_number": "786-372-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335033",
            "telephone_number": "786-372-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRIA",
        "first_name": "RODOLFO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kyle Hynes, A.P. DOM
• Hyperbaric Centers of Southwest Florida, LLC
• Hypothetically Yes, LLC
• I-Maze LLC
• Sonia M Ibarra Arias, MD
• George Sobhy Ibrahim, M.D.
• Evgeny Idrisov, MD
• Mohab Abubakr Idriss Jr., MD
• Ignite Home Health-Region 8 LLC
• IHS Al SRQ, LLC

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.

Verify at the official NPI Registry.