Organization Active NPI

Roger Dawkins MD PA

  • Specialist
  • Margate, FL
National Provider Identifier
1720056971
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0048130 Issued in FL
Legal business name
ROGER DAWKINS MD PA
Doing business as
PALM COURT MEDICAL CENTER
Practice address
7454 Royal Palm Blvd
Margate, FL 33063-6881
Phone
(954) 973-0030
Fax
(954) 973-0531
NPI assigned
Mar 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Roger M Dawkins, M.D.NPI 1013980861
Title
President and All Other Officers
Phone
(954) 973-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0048130 FL Primary

Addresses

Primary practice location

7454 Royal Palm Blvd
Margate, FL 33063-6881

Mailing address

7454 Royal Palm Blvd
Margate, FL 33063-6881
Phone (954) 973-0030

Other identifiers 1

IdentifierTypeStateIssuer
052893500MedicaidFL

Other names 1

  • PALM COURT MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081030000750 FL Part B Supplier - Clinic/Group Practice 4082773361 Receives reassigned benefits from 1 practitioner
Practice locations: Margate, FL

National Provider Directory

National Provider Directory

Locations

8056 W Sample Rd
Margate, FL 33065
Phone (954) 752-5959

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1720056971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 ROYAL PALM BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330636881",
            "telephone_number": "954-973-0030",
            "fax_number": "954-973-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7454 ROYAL PALM BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330636881",
            "telephone_number": "954-973-0030",
            "fax_number": "954-973-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER DAWKINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-12",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND ALL OTHER OFFICERS",
        "authorized_official_telephone_number": "954-973-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0048130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052893500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM COURT MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.