Individual provider Active NPI

Rosalie Brao, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Myers, FL
National Provider Identifier
1376943233
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24744 Issued in FL
Practice address
14361 Metropolis Ave Ste 1
Fort Myers, FL 33912-4453
Phone
(239) 561-2258
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 24744 FL Primary

Addresses

Primary practice location

14361 Metropolis Ave Ste 1
Fort Myers, FL 33912-4453

Mailing address

14361 Metropolis Ave Ste 1
Fort Myers, FL 33912-4453
Phone (239) 571-6161

Other practice location 1

8845 Founders Square Dr Ste 110
Naples, FL 34120-0733
Phone (239) 206-4168

Other practice location 2

21740 S Tamiami Trl Ste 116
Estero, FL 33928-2819
Phone (239) 390-0289

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24744FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Laboda DMD PA Orthodontics and Dentofacial Orthopedics PastSince Jan 17, 2022 Accepting new patients
Leah Deberardinis DDS and Austin Griffith DDS a Dental Corporation Past Accepting new patients
Thomas C. Brick D.M.D. PA. PastSince May 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1376943233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 METROPOLIS AVE STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124453",
            "telephone_number": "239-571-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14361 METROPOLIS AVE STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124453",
            "telephone_number": "239-561-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8845 Founders Square Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341200733",
            "country_code": "US",
            "telephone_number": "239-206-4168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21740 S Tamiami Trl Ste 116",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339282819",
            "country_code": "US",
            "telephone_number": "239-390-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAO",
        "first_name": "ROSALIE",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "24744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.