Roads Dental Specialty Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROADS DENTAL SPECIALTY GROUP

Practice address

1378 Coral Way
5TH Floor
Miami, FL 33145-2943

Phone

(305) 856-1134

Fax

(305) 239-9452

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica C Eagan, DDS

Title

President

Phone

(305) 856-1134

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1679960231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 CORAL WAY",
            "address_2": "5TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452943",
            "telephone_number": "305-856-1134",
            "fax_number": "305-239-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 CORAL WAY",
            "address_2": "5TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452943",
            "telephone_number": "305-856-1134",
            "fax_number": "305-239-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADS DENTAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "EAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-856-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Roach, DO
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• Shara Roach
• Ashley M Roache
• Renaldo Omalee Roache, CRNA
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• Gloria De la Caridad Robaina Denis
• Yunior Conrado Robaina Gonzalez
• Idaleyvis Robaina Otano

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.