Individual provider Active NPI

Melissa K Rosello, D.M.D.

  • Dentist
  • Orlando, FL
National Provider Identifier
1366784068
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17522 Issued in FL
Practice address
4051 N Dean Rd
Orlando, FL 32817-3204
Phone
(407) 679-5151
Fax
(407) 679-2465
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17522 FL Primary

Addresses

Primary practice location

4051 N Dean Rd
Orlando, FL 32817-3204

Mailing address

4051 N Dean Rd
Orlando, FL 32817-3204
Phone (407) 679-5151

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
I20150904002484 FL Order and Referring Only - DentistPractitioner - Dentist 0840506812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Group, P.a. Past Accepting new patients
University Dental Group, PL Past Accepting new patients

Organizations & group practices 2

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1366784068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 N DEAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173204",
            "telephone_number": "407-679-5151",
            "fax_number": "407-679-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 N DEAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173204",
            "telephone_number": "407-679-5151",
            "fax_number": "407-679-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLO",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.