Active NPI
Omar Chacon, D.M.D
- Orthodontics and Dentofacial Orthopedics Dentistry
- Westchase, FL
National Provider Identifier
1992093454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN25563
- Practice address
- 13019 W Linebaugh Ave Ste 102
Westchase, FL 33626-4507 - Phone
- (813) 730-8890
- Fax
- (813) 730-8895
- NPI assigned
- Jul 19, 2011
- Last updated
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN25563 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
13019 W Linebaugh Ave Ste 102
Westchase, FL 33626-4507
Mailing address
13019 W Linebaugh Ave Ste 102
Westchase, FL 33626-4507
Phone (813) 730-8890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN25563 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chacon Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Chacon Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
13019 W Linebaugh Ave
Ste 102
Westchase, FL 33626
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Westchase, FL
- NPI 1396550182
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brandon, FL
- NPI 1952293870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1992093454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13019 W LINEBAUGH AVE STE 102",
"city": "WESTCHASE",
"state": "FL",
"postal_code": "336264507",
"telephone_number": "813-730-8890",
"fax_number": "813-730-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13019 W LINEBAUGH AVE STE 102",
"city": "WESTCHASE",
"state": "FL",
"postal_code": "336264507",
"telephone_number": "813-730-8890",
"fax_number": "813-730-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN25563",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchase, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.