Organization Active NPI

Root Dental, PA

  • Dentist
  • Vero Beach, FL
National Provider Identifier
1043434210
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12057 Issued in FL
Legal business name
ROOT DENTAL, PA
Practice address
3755 20TH PL
Vero Beach, FL 32960-2302
Phone
(772) 569-0123
Fax
(772) 569-9070
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Rick L Root, DMDNPI 1902213200
Title
President
Phone
(772) 569-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN12057 FL Primary

Addresses

Primary practice location

3755 20TH PL
Vero Beach, FL 32960-2302

Mailing address

3755 20TH PL
Vero Beach, FL 32960-2302
Phone (772) 569-0123

National Provider Directory

National Provider Directory

Locations

3755 20th Pl
Vero Beach, FL 32960
Phone (772) 299-3111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1043434210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 20TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602302",
            "telephone_number": "772-569-0123",
            "fax_number": "772-569-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 20TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602302",
            "telephone_number": "772-569-0123",
            "fax_number": "772-569-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-569-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.