Ronald J Trevisani, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN13576 Issued in FL

Practice address

20 S Park Ave
Suite a
Apopka, FL 32703-4269

Phone

(407) 886-2050

Fax

(407) 886-2117

NPI assigned

Feb 20, 2007

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Trevisani Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Apopka, FL
  • NPI 1316211196
  NPD (past)
• Trevisani Oral Surgery Orlando PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
  • NPI 1154838365
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1740325794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-886-2050",
            "fax_number": "407-886-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PARK AVE",
            "address_2": "SUITE A",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034269",
            "telephone_number": "407-886-2050",
            "fax_number": "407-886-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVISANI",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nghi Tran, PHARM. D
• Thong Tran, PHARM.D.
• Transformation Continuum Health Inc.
• Bethany Traynham, MSSW, CSW
• Trevisani Oral Surgery
• Tri-County Life Care, Inc
• Destiny Truitt
• Diane Camille Truley
• Hong Diem Jennifer Truong, DO
• Monica L Tschickardt, A.R.N.P.

• Oral and Maxillofacial Surgery (Dentist) in Apopka, FL
• Providers in Apopka, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.