Individual provider Active NPI

Kate Elaine O'Donnell, DMD

  • Dentist
  • Sebring, FL
National Provider Identifier
1801388764
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09736 Issued in IA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN27828FLMDDentist
DDS-09736IAMDDentist
30.025459OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tina M Thomas, DMD, PA Dentist CurrentSince Jun 4, 2023 Accepting new patients
Applewhite Dental Iowa PC Dentist PastSince May 1, 2021 Accepting new patients
Associated Dentists, P.C. PastSince May 1, 2021 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.

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.

Verify at the official NPI Registry.