Individual provider Active NPI

Frankie Miguel Gomez, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
National Provider Identifier
1871768978
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN17113 Issued in FL
Practice address
610 N Mills Ave Ste 100
Orlando, FL 32803-7103
Phone
(407) 843-2261
NPI assigned
Apr 29, 2008
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5685 LA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN17113 FL Primary

Addresses

Primary practice location

610 N Mills Ave Ste 100
Orlando, FL 32803-7103

Mailing address

610 N Mills Ave Ste 100
Orlando, FL 32803-7103
Phone (407) 843-2261

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
I20200224002927 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486873650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN17113FLMDOral and Maxillofacial Surgery (Dentist)
5685LAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gomez Maxillofacial PA Oral and Maxillofacial Surgery CurrentSince Mar 30, 2025 Accepting new patients

Locations

201 N Lakemont Ave
Ste 2200
Winter Park, FL 32792
Phone (407) 629-0075

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1871768978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MILLS AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037103",
            "telephone_number": "407-843-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MILLS AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037103",
            "telephone_number": "407-843-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "FRANKIE",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "5685",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.