Individual provider Active NPI

Roxana G Vargas Lemus, DDS

  • Student in an Organized Health Care Education/Training Program
  • Doral, FL
National Provider Identifier
1417534652
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3601 NW 107TH Ave FL 3
Doral, FL 33178-4377
Phone
(305) 418-7771
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2021022603 MO
Student in an Organized Health Care Education/Training Program 390200000X FL Primary

Addresses

Primary practice location

3601 NW 107TH Ave FL 3
Doral, FL 33178-4377

Mailing address

3601 NW 107TH Ave FL 3
Doral, FL 33178-4377

Other practice location 1

440 East Tampa
Springfield, MO 65806-1131
Phone (417) 831-0150

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
2021022603MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children'S Hospital Student in an Organized Health Care Education/Training Program PastSince Feb 2, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roxana.vargas.p1@direct.jordanvalley.nextgenshare.com
  • Direct secure messaging: rvargaslemus694704@direct.ochin.org

Organizations & group practices 1

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1417534652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE FL 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE FL 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377",
            "telephone_number": "305-418-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 East Tampa",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061131",
            "country_code": "US",
            "telephone_number": "417-831-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS LEMUS",
        "first_name": "ROXANA",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021022603",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.