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FRANKLIN E DEL RIO DDS
NPI 1013194331
Dentist in South Miami, FL

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment
5975 SUNSET DR STE 404, SOUTH MIAMI, FL 33143(305) 668-4919 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Franklin E Del Rio Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRANKLIN E DEL RIO DDS (NPI 1013194331) is an individual dentist in South Miami, Florida, licensed in Florida (11796) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1013194331
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameFRANKLIN E DEL RIOCredential: DDS
Location Address5975 SUNSET DR STE 404South Miami, FL 33143-5198
Mailing Address5975 Sunset Dr Ste 404South Miami, FL 33143-5198 · (305) 668-4919
Phone(305) 668-4919
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 29, 2008
✔ NPI 1013194331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 11796
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5975 SUNSET DR STE 404, South Miami, FL 33143
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Other Identifiers 1

Medicare PIN69914FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Franklin E Del Rio Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143392621
PECOS Enrollment IDI20080627000117
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Franklin Del Rio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Del Rio & Associates PA
Same address
General Practice
5975 SUNSET DR, SUITE 404
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
NPI 1841385838 (305) 668-4909

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes 97763
This service involves additional training sessions on how to use an orthopedic device or artificial limb. Each session lasts 15 minutes and helps to ensure you can use the device effectively and comfortably in your daily life. It's a crucial part of adapting to a new device.
263 services52 patients
Impression and custom preparation of oral surgical splint 21085
An oral surgical splint is a device designed to protect your mouth, align your jaw, or aid in healing after surgery. The process involves taking an impression of your teeth to create a splint that fits perfectly. This custom-made device ensures comfort and effectiveness.
28 services28 patients
X-ray of part of lower jaw, 1-4 views 70100
An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.
24 services24 patients
X-ray of face bones, 1-2 views 70140
An X-ray of face bones, with 1-2 views, is a simple, quick imaging test. It uses a small amount of radiation to produce images of the bones in your face. This test can help detect fractures, infections, or other abnormalities. It's painless and non-invasive.
24 services24 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUILLERMO DEL RIO DDS
Dentist (General Practice)
5975 SUNSET DR STE 404
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 668-4919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Franklin Del Rio's NPI number?

The NPI number for Franklin Del Rio is 1013194331. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Franklin Del Rio located?

Franklin Del Rio practices at 5975 Sunset Dr Ste 404, South Miami, FL 33143. The listed phone number is (305) 668-4919.

What is Franklin Del Rio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Franklin Del Rio enrolled in Medicare?

Yes. Franklin Del Rio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Franklin Del Rio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Franklin Del Rio reassigns Medicare benefits to Del Rio & Associates PA (South Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Franklin Del Rio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Franklin Del Rio accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Cigna Healthcare and 6 other insurers list Franklin Del Rio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Franklin Del Rio was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.