Gustavo Lopes de Oliveira, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 20483 Issued in FL

Practice address

112 E Lucerne Cir
Orlando, FL 32801-4401

Phone

(407) 425-4901

NPI assigned

Jun 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Gustavo de Oliveira DMD, P.a.

  • Dentist
  • Orlando, FL
  • NPI 1215515085
  NPD
• Michael J. Vallillo, DDS, PA

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1922197508
  NPD (past)

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1942649900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BELMONT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062402",
            "telephone_number": "407-627-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E LUCERNE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014401",
            "telephone_number": "407-425-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES DE OLIVEIRA",
        "first_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-22",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DN20483",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie Aschebrook Acupuncture LLC
• Danielle Telhiard Lonsway, PA-C
• Thomas D Looke, MD, PHD
• Brianne N Loomis, AUD
• Natalia S Looten, CCC-SLP
• Renata Lopes Saraiva
• Gabriella A Lopes
• Jessica Michelle Lopes, CAA
• Sonia Helena Medina Lopes, ARNP
• Susana Lopes, ATC, LAT

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.