NPIMap

Organization Active NPI

Omar Abdo, DDS, Ms, PA

  • Prosthodontics
  • Jupiter, FL
National Provider Identifier
1902077563
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
16512 Issued in FL
Legal business name
OMAR ABDO, DDS, MS, PA
Practice address
200 S Central Blvd
Suite a
Jupiter, FL 33458-8819
Phone
(561) 745-5550
Fax
(561) 745-8442
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Authorized official

Name
Dr. Omar S Abdo, DDS, MS, FACP
Title
Manager
Phone
(561) 745-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 16512 FL Primary

Addresses

Primary practice location

200 S Central Blvd
Suite a
Jupiter, FL 33458-8819

Mailing address

200 S Central Blvd
Suite a
Jupiter, FL 33458-8819
Phone (561) 745-5550

National Provider Directory

National Provider Directory

Locations

200 S Central Blvd
Ste A
Jupiter, FL 33458
Phone (561) 745-5550

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1902077563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CENTRAL BLVD",
            "address_2": "SUITE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588819",
            "telephone_number": "561-745-5550",
            "fax_number": "561-745-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CENTRAL BLVD",
            "address_2": "SUITE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588819",
            "telephone_number": "561-745-5550",
            "fax_number": "561-745-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR ABDO, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-745-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, FACP"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "16512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.