Omar Luis Estevez Delgado, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25213 Issued in FL

Practice address

6882 Gulfport Blvd S
South Pasadena, FL 33707-2108

Phone

(727) 384-9655

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Coast Florida P.a.

  dba Coast Dental-Pasadena

  • Dentist
  • South Pasadena, FL
  • NPI 1295301513
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1558979484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 35TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035203",
            "telephone_number": "941-225-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6882 GULFPORT BLVD S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072108",
            "telephone_number": "727-384-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVEZ DELGADO",
        "first_name": "OMAR",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "25213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Dunkelberger, D.O.
• Kelly Dzioba
• Dawn Marie Einfeldt, OTA6429
• Ernest C Rehnke MD Facs PLLC
• Cynthia Espiritu, PHARMD
• Marie Ewing, CRNA
• Excellence Nursing
• Jozsef Fabian, M.D.
• Stephanie Carol Fischette, OTR/L
• Neil Flores, PTA

• General Practice Dentistry in South Pasadena, FL
• Providers in South Pasadena, 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 Jul 16, 2020; 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.