Individual provider Active NPI

Andrew James Rockafellow

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring Hill, FL
National Provider Identifier
1750741302
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN21868 Issued in FL
Practice address
32 Seven Hills Dr
Spring Hill, FL 34609-0212
Phone
(919) 744-4306
NPI assigned
Feb 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN21868 FL Primary

Addresses

Primary practice location

32 Seven Hills Dr
Spring Hill, FL 34609-0212

Mailing address

1701 N Lois Ave Unit 308
Tampa, FL 33607-2413
Phone (904) 244-2000

Other practice location 1

2651 Narnia Way
Land O Lakes, FL 34638-7233
Phone (919) 744-4306

Other practice location 2

591 N Lecanto Hwy
Lecanto, FL 34461-9187
Phone (919) 744-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714001291 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597057331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21868FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1750741302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N LOIS AVE UNIT 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072413",
            "telephone_number": "904-244-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEVEN HILLS DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090212",
            "telephone_number": "919-744-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 Narnia Way",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346387233",
            "country_code": "US",
            "telephone_number": "919-744-4306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "591 N Lecanto Hwy",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619187",
            "country_code": "US",
            "telephone_number": "919-744-4306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKAFELLOW",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN21868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.