Organization Active NPI

Hialeah Dental Care Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hialeah, FL
National Provider Identifier
1720179195
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN12879 Issued in FL
Legal business name
HIALEAH DENTAL CARE INC
Practice address
4240 West 16 Ave
Hialeah, FL 33012
Phone
(305) 823-1882
Fax
(305) 819-0275
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Roxann Rodriguez, DDS
Title
Dentista
Phone
(305) 823-1882

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN17094 FL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN11884 FL
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DN12879 FL Primary

Addresses

Primary practice location

4240 West 16 Ave
Hialeah, FL 33012

Mailing address

4240 West 16 Ave
Hialeah, FL 33012
Phone (305) 823-1882

National Provider Directory

National Provider Directory

Locations

4240 W 16th Ave
Hialeah, FL 33012
Phone (305) 823-1882

Practitioners & affiliated clinicians

Practitioners 4

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720179195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 WEST 16 AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-823-1882",
            "fax_number": "305-819-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 WEST 16 AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-823-1882",
            "fax_number": "305-819-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_title_or_position": "DENTISTA",
        "authorized_official_telephone_number": "305-823-1882",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17094",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11884",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN12879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.