Organization Active NPI

Itza M Rosado DDS PA

  • General Practice Dentistry
  • Miramar, FL
National Provider Identifier
1407435704
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ITZA M ROSADO DDS PA
Practice address
12781 Miramar Pkwy Ste 201
Miramar, FL 33027-2908
Phone
(954) 433-2225
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Dr. Itza Rosado, DDSNPI 1215997242
Title
Dentist
Phone
(954) 433-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12781 Miramar Pkwy Ste 201
Miramar, FL 33027-2908

Mailing address

12781 Miramar Pkwy Ste 201
Miramar, FL 33027-2908
Phone (954) 433-2225

National Provider Directory

National Provider Directory

Locations

12781 Miramar Pkwy
Ste 201
Miramar, FL 33027
Phone (954) 433-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1407435704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY STE 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272908",
            "telephone_number": "954-433-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY STE 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272908",
            "telephone_number": "954-433-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITZA M ROSADO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "ITZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-433-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.