Individual provider Active NPI

Robert John Evelyn, DMD

  • Dentist
  • Ocala, FL
National Provider Identifier
1841658093
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21246 Issued in FL
Practice address
1800 SE 17TH St Ste 602
Ocala, FL 34471-4176
Phone
(352) 867-7181
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21246 FL Primary

Addresses

Primary practice location

1800 SE 17TH St Ste 602
Ocala, FL 34471-4176

Mailing address

1800 SE 17TH St Ste 602
Ocala, FL 34471-4176
Phone (352) 867-7181

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
I20190204003027 FL Order and Referring Only - DentistPractitioner - Dentist 8224376918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21246FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Smiles PLLC CurrentSince Mar 6, 2022 Accepting new patients
Stephen H Dunn DDS PA PastSince Aug 1, 2019 Accepting new patients

Locations

1800 SE 17th St
Ste 602
Ocala, FL 34471
Phone (352) 867-7181

Organizations & group practices 2

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1841658093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH ST STE 602",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714176",
            "telephone_number": "352-867-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH ST STE 602",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714176",
            "telephone_number": "352-867-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELYN",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "21246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.