Edgar Omar Ortiz Pimentel, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21822 Issued in FL

Practice address

1475 6TH St NW
Winter Haven, FL 33881-2365

Phone

(863) 226-0261

NPI assigned

Aug 28, 2011

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1699055178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812365",
            "telephone_number": "863-226-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PIMENTEL",
        "first_name": "EDGAR",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-28",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Orphee, D.M.D.
• Michael G Ort, M.D.
• Orthopaedic Medical Group of Tampa Bay PA
• Orthotic & Prosthetic Centers, Inc.
• Estrella Celeste Ortiz Colon
• Crystal Brook Ortiz, APRN
• Emilio Ortiz
• Jay Ortiz, LMHC
• Stephanie Lauren Osteen, BA
• Maria Rosa Otero Suria, M.D., PSY.D

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, 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 Feb 24, 2017; 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.