Mary Rose Isaacs, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 13097 Issued in FL

Practice address

5965 Red Bug Lake Rd
Suite 233
Winter Springs, FL 32708-5080

Phone

(407) 696-5210

Fax

(407) 696-6488

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mary R. Isaacs, D.M.D., P.a.

  • General Practice Dentistry
  • Winter Springs, FL
  • NPI 1811092893
  NPD (past) Authorized official
• Pearl K Burns DDS PA

  • General Practice Dentistry
  • Winter Springs, FL
  • NPI 1144325283
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750486833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 RED BUG LAKE RD",
            "address_2": "SUITE 233",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085080",
            "telephone_number": "407-696-5210",
            "fax_number": "407-696-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 RED BUG LAKE RD",
            "address_2": "SUITE 233",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085080",
            "telephone_number": "407-696-5210",
            "fax_number": "407-696-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 13097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "642592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "69975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanna Ibrahim
• Impower, Inc
• Infinite Health & Wellness Inc
• Fannie A. Ingram, RPH
• Integrated Healthpromotion
• K Rose Ivey, LMT (FL)
• J Jeffrey Bos D C P a
• J. Jeffrey Bos, D.C., P.a.
• Lindsay Jackson-Drago
• Melanie J Jackson, MS, LMHC, NCC

• General Practice Dentistry in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.