Active NPI
Ricardo J Cermeno Sr., DMD
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1568083020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- NJDCATEMP-017861
- Practice address
- 6509 Conroy Rd Apt 114
Orlando, FL 32835-3501 - Phone
- (407) 607-2325
- NPI assigned
- May 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 | NJDCATEMP-017861 | NJ | Primary |
Addresses
Primary practice location
6509 Conroy Rd Apt 114
Orlando, FL 32835-3501
Mailing address
6509 Conroy Rd Apt 114
Orlando, FL 32835-3501
Phone (407) 607-2325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJDCATEMP-017861 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1568083020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 CONROY RD APT 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353501",
"telephone_number": "407-607-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6509 CONROY RD APT 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353501",
"telephone_number": "407-607-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMENO",
"first_name": "RICARDO",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "NJDCATEMP-017861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.