Omar A. Malpica, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10564 Issued in FL

Practice address

14201 W Sunrise Blvd Ste 106
Sunrise, FL 33323-3207

Phone

(954) 845-0666

Fax

(954) 845-9612

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1912174483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-845-0666",
            "fax_number": "954-845-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-845-0666",
            "fax_number": "954-845-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPICA",
        "first_name": "OMAR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michaeline Malcolm-Griffith, O.D.
• Yaneque Y Malcolm, M,S
• Tamia Anna Maldonado
• Sarah Malone, MS
• Claudette Y. Maloney, CRNA
• Adrian Palor Manalili, PHYSICAL THERAPIST
• Eileen Pamela Marmol Manalo
• Monica M Manasa, MD
• Allison Joy Catbay Manglapuz, MS, CF-SLP
• Lina Maria Manjarres, COTA/L

• General Practice Dentistry in Sunrise, FL
• Providers in Sunrise, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.