Active NPI
Ronald Michael Marini, D.M.D.
- General Practice Dentistry
- Sanford, FL
National Provider Identifier
1750361473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN8441
- Practice address
- 2921 S Orlando Dr
Suite 146
Sanford, FL 32773-4103 - Phone
- (407) 322-9992
- Fax
- (407) 322-4415
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN8441 | FL | Primary |
Addresses
Primary practice location
2921 S Orlando Dr
Suite 146
Sanford, FL 32773-4103
Mailing address
772 Seneca Meadows Rd
Winter Springs, FL 32708-4722
Phone (407) 925-3306
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074986900 | Medicaid | FL | |
| 991268 | Other | FL | COMPDENT HEALTHY KIDS |
| 076031500 | Medicaid | FL |
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 |
|---|---|---|---|
| DN8441 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plaza Dental Centers | General Practice | Current | Accepting new patients |
Locations
2921 S Orlando Dr
Ste 146
Sanford, FL 32773
Phone (407) 322-9992
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Sanford, FL
- NPI 1265059687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1750361473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 SENECA MEADOWS RD",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084722",
"telephone_number": "407-925-3306",
"fax_number": "407-322-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 S ORLANDO DR",
"address_2": "SUITE 146",
"city": "SANFORD",
"state": "FL",
"postal_code": "327734103",
"telephone_number": "407-322-9992",
"fax_number": "407-322-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINI",
"first_name": "RONALD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN8441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074986900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPDENT HEALTHY KIDS",
"identifier": "991268",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076031500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.