Active NPI
Kate Elaine O'Donnell, DMD
- Dentist
- Sebring, FL
National Provider Identifier
1801388764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-09736
- Practice address
- 5935 US Highway 27 N Ste 103
Sebring, FL 33870-1200 - Phone
- (863) 382-0888
- NPI assigned
- Jun 5, 2018
- Last updated
- May 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN27828 | FL | |
| Dentist | 122300000X | 30.025459 | OH | |
| Dentist | 122300000X | DDS-09736 | IA | Primary |
Addresses
Primary practice location
5935 US Highway 27 N Ste 103
Sebring, FL 33870-1200
Mailing address
3923 Santiago St
Sebring, FL 33872-2231
Phone (319) 610-4181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27828 | FL | MD | Dentist |
| DDS-09736 | IA | MD | Dentist |
| 30.025459 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tina M Thomas, DMD, PA | Dentist | Current | Accepting new patients |
| Applewhite Dental Iowa PC | Dentist | Past | Accepting new patients |
| Associated Dentists, P.C. | Past | Accepting new patients |
Locations
5935 US 27 N
Ste 103
Sebring, FL 33870
Phone (863) 382-0888
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Associated Dentists
- General Practice Dentistry
- Newton, IA
- NPI 1770143596
-
- General Practice Dentistry
- Newton, IA
- NPI 1881819522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1801388764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 SANTIAGO ST",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722231",
"telephone_number": "319-610-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5935 US HIGHWAY 27 N STE 103",
"city": "SEBRING",
"state": "FL",
"postal_code": "338701200",
"telephone_number": "863-382-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "KATE",
"middle_name": "ELAINE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27828",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.025459",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-09736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.