Rodolfo Andrew Olmos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16586 Issued in FL

Practice address

9753 S Orange Blossom TRL Ste 105
Orlando, FL 32837-8998

Phone

(407) 857-8585

Fax

(407) 857-8448

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1679616577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL",
            "address_2": "STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-857-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-857-8585",
            "fax_number": "407-857-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMOS",
        "first_name": "RODOLFO",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Celia Olivos, RCSWI
• Heather Ann Oller
• Adaliz Olmeda, ARNP
• Steven Miguel Olmo, PHARMD
• Yomarie Olmo, BA
• Karen Carolina Olney, NP
• Deborah Lynn Olorunfemi
• Courtney Jenel Oloughlin, PA-C
• Kevin C Oloughlin, MD
• Bankole Olowofela, MD

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, 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 12, 2023; 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.