Individual provider Active NPI

Roberto Jose Ramirez, DDS

  • Public Health Dentistry
  • Lake Worth, FL
National Provider Identifier
1174202576
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DN28341 Issued in FL
Practice address
4481 Lake Worth Rd Unit B
Lake Worth, FL 33461-3929
Phone
(561) 331-3013
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DN28341 FL Primary

Addresses

Primary practice location

4481 Lake Worth Rd Unit B
Lake Worth, FL 33461-3929

Mailing address

8245 Butler Greenwood Dr
Royal Palm Beach, FL 33411-4539
Phone (561) 722-5357

Other practice location 1

3935 jog road unit 16
greenacres, FL 33467
Phone (561) 530-3325

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
DN28341FLMDPublic Health Dentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1174202576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 BUTLER GREENWOOD DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114539",
            "telephone_number": "561-722-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LAKE WORTH RD UNIT B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613929",
            "telephone_number": "561-331-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3935 jog road unit 16",
            "address_purpose": "LOCATION",
            "city": "greenacres",
            "state": "FL",
            "postal_code": "33467",
            "country_code": "US",
            "telephone_number": "561-530-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ROBERTO",
        "middle_name": "JOSE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN28341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.