Individual provider Active NPI

Margarita N Romero Quevedo, DDS

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1861866782
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21642 Issued in FL
Practice address
100 Buenaventura Blvd
Kissimmee, FL 34743-4513
Phone
(407) 348-6042
Fax
(407) 348-6960
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 21642 FL Primary

Addresses

Primary practice location

100 Buenaventura Blvd
Kissimmee, FL 34743-4513

Mailing address

100 Buenaventura Blvd
Kissimmee, FL 34743-4513
Phone (407) 348-6042

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
I20151216002504 FL Order and Referring Only - DentistPractitioner - Dentist 9436450442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21642FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Dental Group LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

100 Buenaventura Blvd
Kissimmee, FL 34743
Phone (407) 348-6042

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1861866782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434513",
            "telephone_number": "407-348-6042",
            "fax_number": "407-348-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434513",
            "telephone_number": "407-348-6042",
            "fax_number": "407-348-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO QUEVEDO",
        "first_name": "MARGARITA",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.