Individual provider Active NPI

Orlando Romero, D.M.D

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1376777318
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17763 Issued in FL
Practice address
18652 NW 67TH Ave
Hialeah, FL 33015-2406
Phone
(305) 474-0400
Fax
(305) 474-0094
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17763 FL Primary

Addresses

Primary practice location

18652 NW 67TH Ave
Hialeah, FL 33015-2406

Mailing address

18652 NW 67TH Ave
Hialeah, FL 33015-2406
Phone (305) 474-0400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240106000287 FL Order and Referring Only - DentistPractitioner - Dentist 8820308646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17763FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1376777318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18652 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152406",
            "telephone_number": "305-474-0400",
            "fax_number": "305-474-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18652 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152406",
            "telephone_number": "305-474-0400",
            "fax_number": "305-474-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ORLANDO",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.