Individual provider Active NPI

Reena Rothman, DMD

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1194393066
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25998 Issued in FL
Practice address
1700 N University Dr Ste 101
Coral Springs, FL 33071-8970
Phone
(954) 344-8800
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25998 FL Primary

Addresses

Primary practice location

1700 N University Dr Ste 101
Coral Springs, FL 33071-8970

Mailing address

4060 N Hills Dr Apt 6
Hollywood, FL 33021-2454
Phone (732) 266-4284

Other practice location 1

4060 N Hills Dr Apt 6
Hollywood, FL 33021-2454
Phone (732) 266-4284

Other identifiers 1

IdentifierTypeStateIssuer
DN25998OtherFLFLORIDA DEPARTMENT OF HEALTH

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
DN25998FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1194393066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N HILLS DR APT 6",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212454",
            "telephone_number": "732-266-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718970",
            "telephone_number": "954-344-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4060 N Hills Dr Apt 6",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330212454",
            "country_code": "US",
            "telephone_number": "732-266-4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "REENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "DN25998",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

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

Verify at the official NPI Registry.