Richard Watson Oliver Jr., DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN13494 Issued in FL

Practice address

5014 NW 27TH Court
Gainesville, FL 32606-6545

Phone

(352) 376-5155

Fax

(352) 376-5257

NPI assigned

Aug 19, 2006

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

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710092036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 NW 27TH CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066545",
            "telephone_number": "352-376-5155",
            "fax_number": "352-376-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 NW 27TH COURT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066545",
            "telephone_number": "352-376-5155",
            "fax_number": "352-376-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "RICHARD",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN13494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jairo Martin Olivas, M.D.
• Olive Branch Group Home, Inc.
• Olive Tree Home Care LLC
• Dayane Oliveira
• Felesiah L Oliver
• Ty'a Kristian Oliver, MD
• Judith Ann Oliverio
• Christian-Immanuel Soriano Oliveros, MD
• Nicole A Olivieri Pagan
• Kathleen Olmos, PH.D.

• Periodontics in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.