Individual provider Active NPI

Oliver Guillermo Cabrera, DDS

  • Dentist
  • Port Charlotte, FL
National Provider Identifier
1609021682
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21692 Issued in FL
Practice address
941 Tamiami TRL Ste F
Port Charlotte, FL 33953-3121
Phone
(941) 629-7779
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21692 FL Primary

Addresses

Primary practice location

941 Tamiami TRL Ste F
Port Charlotte, FL 33953-3121

Mailing address

18435 Meyer Ave
Port Charlotte, FL 33948-8931
Phone (585) 576-5864

Other practice location 1

16520 Burnt Store Rd Unit 104
Punta Gorda, FL 33955-9220
Phone (941) 548-6684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P67776NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Dental PA Current Accepting new patients
Soul Dental PLLC Current Accepting new patients
Oliver G Cabrera, DDS, PC Current Accepting new patients

Locations

941 Tamiami Trl
Ste F
Port Charlotte, FL 33953
Phone (402) 604-0663

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1609021682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18435 MEYER AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339488931",
            "telephone_number": "585-576-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 TAMIAMI TRL STE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533121",
            "telephone_number": "941-629-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16520 Burnt Store Rd Unit 104",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339559220",
            "country_code": "US",
            "telephone_number": "941-548-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "OLIVER",
        "middle_name": "GUILLERMO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.