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RICARDO CARLO CARRILLO DDS
NPI 1174979991
Dentist - General Practice in Winter Garden, FL

Active since May 11, 2016PECOS Enrolled
1993 DANIELS RD STE 120, WINTER GARDEN, FL 34787(407) 395-9335 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, May 28, 2020, Nov 14, 2018 and 1 more (4 updates tracked since 2016).

About Ricardo Carlo Carrillo Dds NPPES

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

RICARDO CARLO CARRILLO DDS (NPI 1174979991) is an individual general practice provider in Winter Garden, Florida, licensed in Florida (23339) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clermont.

NPPES Registry Identity

NPI1174979991
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRICARDO CARLO CARRILLOCredential: DDS
Location Address1993 DANIELS RD STE 120Winter Garden, FL 34787-4598
Mailing Address1993 Daniels Rd Ste 120Winter Garden, FL 34787-4598 · (703) 341-7769 · Fax (407) 395-8470
Phone(407) 395-9335
Sole ProprietorYes
Enumeration DateMay 11, 2016
Last NPPES UpdateJanuary 11, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1174979991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 23339
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1507 (FL)
1993 DANIELS RD STE 120, Winter Garden, FL 34787
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Other Names 1

Former Name (1)Ricardo Carlo Carrillo Giraldo

Secondary Practice Location 1

Location 1810 W DeSoto StClermont, FL 34711 · Phone (352) 394-3071

Other Identifiers 1

Medicaid1174979991FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ricardo Carlo Carrillo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

CARLOS ZAPATA HENAO DMD
Dentist (General Practice)
1993 DANIELS RD STE 120
WINTER GARDEN, FL 34787
Orange County (407) 863-0476
JENNIFER CLAUSSEN DMD
Dentist
1993 DANIELS RD STE 120
WINTER GARDEN, FL 34787
Orange County (407) 863-0476
SMILEXP PLLC
Clinic/Center (Dental)
1993 DANIELS RD STE 120
WINTER GARDEN, FL 34787
Orange County (407) 395-9335

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 Ricardo Carrillo's NPI number?

The NPI number for Ricardo Carrillo is 1174979991. It was assigned to this individual provider in the NPPES registry on May 11, 2016. The provider is also known as Ricardo Carlo Carrillo Giraldo.

Where is Ricardo Carrillo located?

Ricardo Carrillo practices at 1993 Daniels Rd Ste 120, Winter Garden, FL 34787. The listed phone number is (407) 395-9335.

What is Ricardo Carrillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ricardo Carrillo enrolled in Medicare?

Yes. Ricardo Carrillo is registered in the Medicare PECOS enrollment system.

What insurance does Ricardo Carrillo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Ricardo Carrillo 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 Ricardo Carrillo was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.