Active NPI
Jenny J. Roman, DDS
- General Practice Dentistry
- Coral Gables, FL
National Provider Identifier
1093056251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16486
- Practice address
- 747 Ponce de Leon Blvd Ste 301
Coral Gables, FL 33134-2072 - Phone
- (305) 448-1999
- Fax
- (305) 448-1985
- NPI assigned
- Mar 12, 2013
- Last updated
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16486 | FL | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd Ste 301
Coral Gables, FL 33134-2072
Mailing address
747 Ponce de Leon Blvd Ste 301
Coral Gables, FL 33134-2072
Phone (305) 448-1999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16486 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximo a. Roman DDS, PA | Past | 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": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1093056251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD STE 301",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342072",
"telephone_number": "305-448-1999",
"fax_number": "305-448-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD STE 301",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342072",
"telephone_number": "305-448-1999",
"fax_number": "305-448-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "JENNY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "16486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.