Individual provider Active NPI

Jose Rafael Navarro, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Land O Lakes, FL
National Provider Identifier
1366883548
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN23158 Issued in FL
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

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN014539NYMDDentist
058492-1NYMDPediatric Dentist
DN23158FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.