Active NPI
Jose Rafael Navarro, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Land O Lakes, FL
National Provider Identifier
1366883548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN23158
- Practice address
- 2650 Narnia Way Ste 101-102
Land O Lakes, FL 34638-7231 - Phone
- (813) 321-0084
- Fax
- (813) 463-2621
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014539 | NY | |
| Pediatric Dentistry | 1223P0221X | 058492-1 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN23158 | FL | Primary |
Addresses
Primary practice location
2650 Narnia Way Ste 101-102
Land O Lakes, FL 34638-7231
Mailing address
2650 Narnia Way Ste 101-102
Land O Lakes, FL 34638-7231
Phone (813) 321-0084
Other practice location 1
3413 S Kings Ave Ste 200
Brandon, FL 33511-7780
Phone (813) 321-0084
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN014539 | NY | MD | Dentist |
| 058492-1 | NY | MD | Pediatric Dentist |
| DN23158 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navarro Orthodontics PA | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Sage Dental of Altamonte Springs PLLC | Dentist | Past | Accepting new patients |
Locations
3413 S Kings Ave
Ste 200
Brandon, FL 33511
Phone (813) 321-0084
2650 Narnia Way
Ste 101102
Land O Lakes, FL 34638
Phone (813) 321-0084
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Land O Lakes, FL
- NPI 1053995886
-
- Dentist
- Altamonte Springs, FL
- NPI 1821459306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1366883548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 NARNIA WAY STE 101-102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387231",
"telephone_number": "813-321-0084",
"fax_number": "813-463-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 NARNIA WAY STE 101-102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387231",
"telephone_number": "813-321-0084",
"fax_number": "813-463-2621"
}
],
"practiceLocations": [
{
"address_1": "3413 S Kings Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335117780",
"country_code": "US",
"telephone_number": "813-321-0084",
"fax_number": "813-463-2624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVARRO",
"first_name": "JOSE",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "DN014539",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "058492-1",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN23158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.