Licet Yaquelin Ordehi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17905 Issued in FL

Practice address

901 US Highway 27 N Ste 60
Sebring, FL 33870-2129

Phone

(863) 471-1176

Fax

(863) 471-2129

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Licet Yaquelin Ordehi Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coast Dental P.a.

  dba Coast Dental-Sebring

  • Dentist
  • Sebring, FL
  • NPI 1851967152
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1942284393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 46TH ST",
            "address_2": "#3",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472960",
            "telephone_number": "201-601-0848",
            "fax_number": "201-223-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US HIGHWAY 27 N STE 60",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702129",
            "telephone_number": "863-471-1176",
            "fax_number": "863-471-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 32nd St",
            "address_2": "#2",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070873909",
            "country_code": "US",
            "telephone_number": "201-223-2140",
            "fax_number": "201-223-2142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDEHI",
        "first_name": "LICET",
        "middle_name": "YAQUELIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19858",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LICET",
            "last_name": "ORDEHI",
            "middle_name": "YAQUELIN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• One Hope United
• Razvan Paul Onica, MD
• Sylvester Ejiofor Onyishi, M.D.
• Daiana Sol Oppecini, PA
• Orange Blossom Therapy Center, LLC
• Mariapaula Ordonez Giraldo, MD
• Oriental Medical Clinic of Florida
• Joaquin Francisco Oronoz Jr., M.D.
• Luis Carlos Ortegon, O.T
• Orthotic & Prosthetic Centers, Inc. (Orthotic & Prosthetic Center of Sebring)

• General Practice Dentistry in Sebring, FL
• Providers in Sebring, 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 Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.