Individual provider Active NPI

Fernando L Oliver, D.M.D.

  • General Practice Dentistry
  • Altamonte Springs, FL
National Provider Identifier
1790001022
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8741 Issued in FL
Practice address
195 S Westmonte Dr Ste 1112
Altamonte Springs, FL 32714-4219
Phone
(407) 774-8834
NPI assigned
Apr 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8741 FL Primary

Addresses

Primary practice location

195 S Westmonte Dr Ste 1112
Altamonte Springs, FL 32714-4219

Mailing address

195 S Westmonte Dr Ste 1112
Altamonte Springs, FL 32714-4219
Phone (407) 774-8834

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160330001528 FL Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 6507163904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8741FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Altamonte Dental Associates, Inc General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1790001022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR STE 1112",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-774-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR STE 1112",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-774-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "FERNANDO",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.