NPIMap

Organization Active NPI

Omar Ata, D.D.S., PA.

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1447215876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9967 Issued in FL
Legal business name
OMAR ATA, D.D.S., PA.
Practice address
3192 S John Young Pkwy
Suite B
Kissimmee, FL 34746-6546
Phone
(407) 870-5151
Fax
(407) 870-2556
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Omar Ata, D.D.S.NPI 1144285586
Title
President
Phone
(407) 870-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9967 FL Primary

Addresses

Primary practice location

3192 S John Young Pkwy
Suite B
Kissimmee, FL 34746-6546

Mailing address

3192 S John Young Pkwy
Suite B
Kissimmee, FL 34746-6546
Phone (407) 870-5151

National Provider Directory

National Provider Directory

Locations

3192 S John Young Pkwy
Ste B
Kissimmee, FL 34746
Phone (407) 870-5151

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447215876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 S JOHN YOUNG PKWY",
            "address_2": "SUITE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466546",
            "telephone_number": "407-870-5151",
            "fax_number": "407-870-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 S JOHN YOUNG PKWY",
            "address_2": "SUITE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466546",
            "telephone_number": "407-870-5151",
            "fax_number": "407-870-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR ATA, D.D.S., PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-870-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.