Individual provider Active NPI

Angela Victoria Olivar, DMD

  • Dentist
  • Estero, FL
National Provider Identifier
1972333219
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29128 Issued in FL
Practice address
19521 Highland Oaks Dr Ste 301
Estero, FL 33928-9634
Phone
(239) 244-8853
NPI assigned
Aug 2, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29128 FL Primary

Addresses

Primary practice location

19521 Highland Oaks Dr Ste 301
Estero, FL 33928-9634

Mailing address

2927 W Sable Cir
Margate, FL 33063-5696
Phone (754) 245-2579

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
I20250731004682 FL Order and Referring Only - DentistPractitioner - Dentist 2264940329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29128FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Estero Smiles Dentistry, PA CurrentSince Aug 4, 2024 Accepting new patients

Locations

19521 Highland Oaks Dr
Ste 301
Estero, FL 33928
Phone (239) 244-8853

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1972333219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 W SABLE CIR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635696",
            "telephone_number": "754-245-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19521 HIGHLAND OAKS DR STE 301",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289634",
            "telephone_number": "239-244-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAR",
        "first_name": "ANGELA",
        "middle_name": "VICTORIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.