Individual provider Active NPI

Rodney Torres, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tampa, FL
National Provider Identifier
1558748327
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
21206 Issued in FL
Practice address
10870 Sheldon Rd
Tampa, FL 33626-5117
Phone
(813) 920-7720
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 21206 FL Primary

Addresses

Primary practice location

10870 Sheldon Rd
Tampa, FL 33626-5117

Mailing address

12026 Deacons Croft LN
Tampa, FL 33626-2557
Phone (786) 400-9011

Other practice location 1

10 Riverwood Dr Ste A
Crestview, FL 32536-5017
Phone (850) 689-6766

Other identifiers 1

IdentifierTypeStateIssuer
7100404600MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311002276 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678879954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21206FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Torres Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Mar 1, 2020 Accepting new patients
Orthoworks Holdings, PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

1590 NW 10th Ave
Ste 302
Boca Raton, FL 33486
Phone (561) 392-4303

10870 Sheldon Rd
Tampa, FL 33626
Phone (813) 920-7720

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1558748327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12026 DEACONS CROFT LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262557",
            "telephone_number": "786-400-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265117",
            "telephone_number": "813-920-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Riverwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325365017",
            "country_code": "US",
            "telephone_number": "850-689-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "21206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100404600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.