Active NPI
Cynthia Odukomaiya
- Dentist
- Valrico, FL
National Provider Identifier
1841780715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN23930
- Practice address
- 3442 Lithia Pinecrest Rd
Valrico, FL 33596-6301 - Phone
- (813) 605-1508
- NPI assigned
- May 15, 2018
- Last updated
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN23930 | FL | Primary |
Addresses
Primary practice location
3442 Lithia Pinecrest Rd
Valrico, FL 33596-6301
Mailing address
10576 Cory Lake Dr
Tampa, FL 33647-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211103000688 | NY | Order and Referring Only - Other (Non-Physician) | 3274921762 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23930 | FL | MD | Dentist |
| 060628 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Dental, PLLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1841780715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10576 CORY LAKE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 LITHIA PINECREST RD",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966301",
"telephone_number": "813-605-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUKOMAIYA",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN23930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valrico, FL
- Erica Lynn Novatka, APRN
- Emily Paige Mitchell O'Brien, MA, CCC-SLP
- Mary Ellen O'Brien, SLP-A
- Ethan O'Hearn, PTA
- Kevin Reinier Ochoa Casas, M.S., BCBA
- Emmy J. Olson, B.A./SLP-A
- Elsie Aimee Orellano Laureano, PH.D.,RDN,LMT,CSOWM
- Ismael Ortiz Jr., PTA
- Melissa Ortiz, LMT, PTA
- Daniela De Jesus Osoria Lobaina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.