Active NPI
Rosa Hernandez
- General Practice Dentistry
- Sarasota, FL
National Provider Identifier
1124510508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23380
- Practice address
- 4280 Bee Ridge Rd
Sarasota, FL 34233-2563 - Phone
- (941) 363-6381
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | DN23380 | FL | Primary |
Addresses
Primary practice location
4280 Bee Ridge Rd
Sarasota, FL 34233-2563
Mailing address
13801 Tamiami TRL Ste B
North Port, FL 34287-2017
Phone (941) 200-5812
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 |
|---|---|---|---|
| DN23380 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry of North Port PA | Current | Accepting new patients |
Locations
13801 Tamiami Trl
Ste B
North Port, FL 34287
Phone (941) 200-5812
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- North Port, FL
- NPI 1891465779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1124510508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 TAMIAMI TRL STE B",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342872017",
"telephone_number": "941-200-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342332563",
"telephone_number": "941-363-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2021-09-14",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.