Active NPI
Robert Joseph Rotella, DDS
- Dentist
- West Palm Beach, FL
National Provider Identifier
1447320544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN8969
- Practice address
- 1150 45TH Street
West Palm Beach, FL 33407 - Phone
- (561) 370-1310
- Fax
- (561) 845-0111
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN8969 | FL | |
| Dentist | 122300000X | DN8969 | FL | Primary |
Addresses
Primary practice location
1150 45TH Street
West Palm Beach, FL 33407
Mailing address
902 Clint Moore Road
Suite 138
Boca Raton, FL 33487
Phone (561) 642-1008
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8969 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1447320544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CLINT MOORE ROAD",
"address_2": "SUITE 138",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33487",
"telephone_number": "561-642-1008",
"fax_number": "561-802-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 45TH STREET",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-370-1310",
"fax_number": "561-845-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTELLA",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN8969",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN8969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.