Active NPI
Naranja Family Dentistry PA
- General Practice Dentistry
- Naranja, FL
National Provider Identifier
1033616560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN19240
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015905000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Homestead, FL
- NPI 1699912865
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.