Ricardo Obando, DMD., MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN24966 Issued in FL

Practice address

11211 Prosperity Farms Rd Ste B107
Palm Beach Gardens, FL 33410-3453

Phone

(561) 630-8900

NPI assigned

Jun 17, 2020

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Palm Beach Endodontics, P.a.

  • Endodontics
  • Palm Beach Gardens, FL
  • NPI 1740431980
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1558987404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE B107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE B107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103453",
            "telephone_number": "561-630-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANDO",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DMD., MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24966",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN24966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Cameron O'Donnell
• Paul Adam O'Leary, DC
• Corwin O'Neal, PHARMD
• Gail Diane O'Neill, RPT
• Gabriela Maria Obando, BT
• Lori Margaret Oberacker, LMHC
• OBGYN Specialists of the Palm Beaches PA
• OBGYN Specialists of the Palm Beaches PA
• Brendan Obrien
• Occupational Health Center of the Gardens

• Endodontics in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.