Individual provider Active NPI

Roya Rabbanifard, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1790137222
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 22062 Issued in FL
Practice address
4120 Brookmyra Dr
Orlando, FL 32837-5109
Phone
(407) 738-1332
NPI assigned
Jul 8, 2016
Last updated
Jul 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 22062 FL Primary

Addresses

Primary practice location

4120 Brookmyra Dr
Orlando, FL 32837-5109

Mailing address

4120 Brookmyra Dr
Orlando, FL 32837-5109
Phone (407) 738-1332

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
I20160929002692 FL Order and Referring Only - DentistPractitioner - Dentist 8325335680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 22062FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Royarabb PA Current Accepting new patients

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1790137222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 BROOKMYRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375109",
            "telephone_number": "407-738-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BROOKMYRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375109",
            "telephone_number": "407-738-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBANIFARD",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.