Individual provider Active NPI

Oscar Leonardo Naranjo, DMD

  • Dentist
  • Palmetto Bay, FL
National Provider Identifier
1861050668
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24082 Issued in FL
Practice address
9000 SW 152ND St Ste 208
Palmetto Bay, FL 33157-1942
Phone
(305) 253-7670
Fax
(305) 254-0969
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24082 FL Primary

Addresses

Primary practice location

9000 SW 152ND St Ste 208
Palmetto Bay, FL 33157-1942

Mailing address

9000 SW 152ND St Ste 208
Palmetto Bay, FL 33157-1942
Phone (305) 253-7670

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
DN24082FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Dentistry and Oral Health, PA Dentist CurrentSince Aug 1, 2022 Accepting new patients
Shirley F Simmonds DMD PA Dentist PastSince Aug 1, 2022 Accepting new patients

Locations

9000 SW 152nd St
Ste 208
Palmetto Bay, FL 33157
Phone (305) 253-7670

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1861050668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "305-253-7670",
            "fax_number": "305-254-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "305-253-7670",
            "fax_number": "305-254-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "OSCAR",
        "middle_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-09-12",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.