Individual provider Active NPI

Oscar Eduardo Ramos Rodriguez, DDS

  • Dentist
  • Coconut Creek, FL
National Provider Identifier
1407502974
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN26639 Issued in FL
Practice address
5350 W Hillsboro Blvd Ste 201
Coconut Creek, FL 33073-4396
Phone
(954) 708-2157
NPI assigned
Feb 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN26639 FL Primary

Addresses

Primary practice location

5350 W Hillsboro Blvd Ste 201
Coconut Creek, FL 33073-4396

Mailing address

3915 Tree Top Dr
Weston, FL 33332-2148
Phone (786) 702-7395

Other practice location 1

10818 NW 58th St
Doral, FL 33178-2854
Phone (305) 477-7601

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop Direct

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
DN26639FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
VR Dental Pembroke Pines LLC Dentist Current Accepting new patients
Manuel Cruces DDS PA PastSince Feb 27, 2022 Accepting new patients

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1407502974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 TREE TOP DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322148",
            "telephone_number": "786-702-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD STE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-708-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10818 NW 58th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782854",
            "country_code": "US",
            "telephone_number": "305-477-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS RODRIGUEZ",
        "first_name": "OSCAR",
        "middle_name": "EDUARDO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5350 W Hillsboro Blvd Ste 201",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330734396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.