Organization Active NPI

Hallmark Dental LLC

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1790195709
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HALLMARK DENTAL LLC
Practice address
1014 Buenaventura Blvd
Kissimmee, FL 34743-7865
Phone
(407) 344-2400
Fax
(407) 344-1728
NPI assigned
Apr 29, 2014
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
Mr. Rodolfo A Olmos, D.D.S.
Title
Dentist
Phone
(407) 344-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1014 Buenaventura Blvd
Kissimmee, FL 34743-7865

Mailing address

1014 Buenaventura Blvd
Kissimmee, FL 34743-7865
Phone (407) 344-2400

National Provider Directory

National Provider Directory
Tax ID family
Hallmark Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1014 Buenaventura Blvd
Kissimmee, FL 34743
Phone (407) 344-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1790195709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437865",
            "telephone_number": "407-344-2400",
            "fax_number": "407-344-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437865",
            "telephone_number": "407-344-2400",
            "fax_number": "407-344-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-344-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, 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.