Individual provider Active NPI

Rosemarie Marquez, D.M.D.

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1255466249
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13119 Issued in FL
Practice address
6700 Crosswinds Dr N
Suite 100-C
St Petersburg, FL 33710-8602
Phone
(727) 345-1774
Fax
(727) 345-2461
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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 13119 FL Primary

Addresses

Primary practice location

6700 Crosswinds Dr N
Suite 100-C
St Petersburg, FL 33710-8602

Mailing address

6700 Crosswinds Dr N
Suite 100-C
St Petersburg, FL 33710-8602
Phone (727) 345-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728006064 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284948712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13119FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemarie Marquez, DMD, PA General Practice CurrentSince Nov 26, 2023 Accepting new patients

Locations

6700 Crosswinds Dr N
Ste 100C
St Petersburg, FL 33710
Phone (727) 345-1774

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1255466249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 CROSSWINDS DR N",
            "address_2": "SUITE 100-C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108602",
            "telephone_number": "727-345-1774",
            "fax_number": "727-345-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 CROSSWINDS DR N",
            "address_2": "SUITE 100-C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108602",
            "telephone_number": "727-345-1774",
            "fax_number": "727-345-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ROSEMARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.