Carlos Antonio Polo Montes, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

DN 18127 Issued in FL

Practice address

6390 Cypress Gardens Blvd
Winter Haven, FL 33884-3176

Phone

(863) 324-7121

Fax

(863) 324-7056

NPI assigned

Jan 9, 2008

Last updated

Jan 9, 2008By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Dental Solutions of Winter Haven

  • General Practice Dentistry
  • Winter Haven, FL
  • NPI 1689977951
  NPD (past)
• Dr. Robert M Atkins & Associates, PA

  • Dentist
  • Winter Haven, FL
  • NPI 1205011152
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1821273731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6390 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843176",
            "telephone_number": "863-324-7121",
            "fax_number": "863-324-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843176",
            "telephone_number": "863-324-7121",
            "fax_number": "863-324-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO MONTES",
        "first_name": "CARLOS",
        "middle_name": "ANTONIO",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 18127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polk Sleep Disorders LLC
• Polk Therapy
• Polk Therapy LLC
• Jackie Polk, LPN
• Joanna Maritza Pollarolo
• April D Poole
• Haldane W Porteous, M.D
• Maria Socorro S Porterfield, M.D.
• Positive Support Service
• Positive Vibez Healthcare Services LLC

• Dentist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.