Active NPI
Eddie C Orobitg, D.M.D.
- General Practice Dentistry
- Leesburg, FL
National Provider Identifier
1376735431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN14350
- Practice address
- 602 Lee St
Leesburg, FL 34748-5010 - Phone
- (352) 787-5919
- Fax
- (352) 787-2187
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14350 | FL | Primary |
Addresses
Primary practice location
602 Lee St
Leesburg, FL 34748-5010
Mailing address
602 Lee St
Leesburg, FL 34748-5010
Phone (352) 787-5919
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 |
|---|---|---|---|---|
| I20240104003671 | FL | Order and Referring Only - Dentist | 3779894837 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14350 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1376735431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 LEE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485010",
"telephone_number": "352-787-5919",
"fax_number": "352-787-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 LEE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485010",
"telephone_number": "352-787-5919",
"fax_number": "352-787-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OROBITG",
"first_name": "EDDIE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
- Open Arms Med Waiver Provider, Inc
- Optimal Patient Care of the Nature Coast LLC (Rehab at Home)
- Luciano Oquendo III, MD
- Orlando Health Medical Group Inc
- Orlando Vamc
- Orthocare Orthotics and Porsthetics, Inc.
- Jessica G Ortiz-Colon, CRNA
- Felipe O Ortiz, M.D.
- Kristin Rebecca Osley, BCBA
- Dayami Osoria Turro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.