NPIMap

Organization Active NPI

Omega Dental Group, P.a.

  • Dentist
  • Winter Park, FL
National Provider Identifier
1730599887
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11787 Issued in FL
Legal business name
OMEGA DENTAL GROUP, P.A.
Practice address
7200 Aloma Ave
Suite D
Winter Park, FL 32792-7133
Phone
(407) 671-1017
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Brian Oliver Coleman, DMDNPI 1720008121
Title
Comprehensive Dentist
Phone
(407) 671-1017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11787 FL Primary

Addresses

Primary practice location

7200 Aloma Ave
Suite D
Winter Park, FL 32792-7133

Mailing address

7200 Aloma Ave
Suite D
Winter Park, FL 32792-7133
Phone (407) 671-1017

National Provider Directory

National Provider Directory

Locations

7200 Aloma Ave
Ste D
Winter Park, FL 32792
Phone (407) 671-1017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1730599887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 ALOMA AVE",
            "address_2": "SUITE D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927133",
            "telephone_number": "407-671-1017",
            "fax_number": "407-678-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 ALOMA AVE",
            "address_2": "SUITE D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927133",
            "telephone_number": "407-671-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "COMPREHENSIVE DENTIST",
        "authorized_official_telephone_number": "407-671-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.