Active NPI
Himilce Del Carmen Rovirosa, DDS
- Dentist
- Fairfield, CA
National Provider Identifier
1447418470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49203
- Practice address
- 2101 Courage Drive
Fairfield, CA 94533 - Phone
- (707) 784-2120
- Fax
- (707) 784-2126
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49203 | CA | Primary |
Addresses
Primary practice location
2101 Courage Drive
Fairfield, CA 94533
Mailing address
2101 Courage Drive
Fairfield, CA 94533
Phone (707) 784-2120
Other names 1
- Himilce Rovirosa
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49203 | CA | MD | Dentist |
Interoperability endpoints
- hrovirosa717001@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1447418470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 COURAGE DRIVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94533",
"telephone_number": "707-784-2120",
"fax_number": "707-784-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 COURAGE DRIVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94533",
"telephone_number": "707-784-2120",
"fax_number": "707-784-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROVIROSA",
"first_name": "HIMILCE",
"middle_name": "DEL CARMEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HIMILCE",
"last_name": "ROVIROSA",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.