Individual provider Active NPI

Celia Marina Roman, D.D.S.

  • Pediatric Dentistry
  • Doral, FL
National Provider Identifier
1356570303
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN21626 Issued in FL
Practice address
3905 NW 107TH Ave Ste 505
Doral, FL 33178-2785
Phone
(305) 400-9296
Fax
(786) 921-0205
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN21626 FL Primary

Addresses

Primary practice location

3905 NW 107TH Ave Ste 505
Doral, FL 33178-2785

Mailing address

3905 NW 107TH Ave Ste 505
Doral, FL 33178-2785
Phone (305) 400-9296

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
DN21626FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Celia Roman PA Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: croman256254@mhsdirect.net

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1356570303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NW 107TH AVE STE 505",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782785",
            "telephone_number": "305-400-9296",
            "fax_number": "786-921-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NW 107TH AVE STE 505",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782785",
            "telephone_number": "305-400-9296",
            "fax_number": "786-921-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CELIA",
        "middle_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.