Active NPI
Roxana Colangelo, DENTIST
- Dentist
- Hialeah, FL
National Provider Identifier
1376285155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28967
- Practice address
- 750 E 25TH St
Hialeah, FL 33013-3817 - Phone
- (754) 302-3549
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28967 | FL | Primary |
Addresses
Primary practice location
750 E 25TH St
Hialeah, FL 33013-3817
Mailing address
191 Alhambra Way
Weston, FL 33326-2598
Phone (754) 302-3549
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 |
|---|---|---|---|
| 28967 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1376285155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 ALHAMBRA WAY",
"city": "WESTON",
"state": "FL",
"postal_code": "333262598",
"telephone_number": "754-302-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 25TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133817",
"telephone_number": "754-302-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANGELO",
"first_name": "ROXANA",
"name_prefix": "Miss",
"credential": "DENTIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.