Individual provider Active NPI

Itza Marie Rosado, DDS, PA

  • General Practice Dentistry
  • Miramar, FL
National Provider Identifier
1215997242
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15323 Issued in FL
Practice address
16223 Miramar Parkway
Miramar, FL 33027-4572
Phone
(954) 433-2225
Fax
(954) 433-4421
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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 DN15323 FL Primary

Addresses

Primary practice location

16223 Miramar Parkway
Miramar, FL 33027-4572

Mailing address

12781 Miramar Pkwy
Suite 201
Miramar, FL 33027-2906
Phone (954) 433-2225

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN15323FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Itza M Rosado DDS PA General Practice CurrentSince Apr 11, 2021 Accepting new patients

Locations

12781 Miramar Pkwy
Ste 201
Miramar, FL 33027
Phone (954) 433-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1215997242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY",
            "address_2": "SUITE 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272906",
            "telephone_number": "954-433-2225",
            "fax_number": "954-433-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16223 MIRAMAR PARKWAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274572",
            "telephone_number": "954-433-2225",
            "fax_number": "954-433-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "ITZA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.