Individual provider Active NPI

Harvey S. Rosa, D.M.D.

  • General Practice Dentistry
  • Aventura, FL
National Provider Identifier
1073767836
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6979 Issued in FL
Practice address
20475 Biscayne Blvd
Suite G-9
Aventura, FL 33180-1550
Phone
(305) 935-4030
Fax
(305) 935-4448
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6979 FL Primary

Addresses

Primary practice location

20475 Biscayne Blvd
Suite G-9
Aventura, FL 33180-1550

Mailing address

20475 Biscayne Blvd
Suite G-9
Aventura, FL 33180-1550
Phone (305) 935-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6979FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aventura Irresistible Smiles PA PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1073767836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 BISCAYNE BLVD",
            "address_2": "SUITE G-9",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801550",
            "telephone_number": "305-935-4030",
            "fax_number": "305-935-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 BISCAYNE BLVD",
            "address_2": "SUITE G-9",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801550",
            "telephone_number": "305-935-4030",
            "fax_number": "305-935-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "HARVEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.