Organization Active NPI

Naranja Family Dentistry PA

  • General Practice Dentistry
  • Naranja, FL
National Provider Identifier
1033616560
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19240 Issued in FL
Legal business name
NARANJA FAMILY DENTISTRY PA
Practice address
27325 S Dixie Hwy
Naranja, FL 33032-8233
Phone
(786) 601-2644
NPI assigned
Apr 11, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Rodolfo Lea Plaza, DDS
Title
Dentist
Phone
(786) 601-2644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19240 FL Primary

Addresses

Primary practice location

27325 S Dixie Hwy
Naranja, FL 33032-8233

Mailing address

27325 S Dixie Hwy
Naranja, FL 33032-8233
Phone (786) 601-2644

Other identifiers 1

IdentifierTypeStateIssuer
015905000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1033616560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27325 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330328233",
            "telephone_number": "786-601-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27325 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330328233",
            "telephone_number": "786-601-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARANJA FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "LEA PLAZA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-601-2644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015905000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranja, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.