Organization Active NPI

Roxanne Malone

Doing business as Roxanne Malone DDS, PA

  • Dentist
  • Sebastian, FL
National Provider Identifier
1801184270
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13897 Issued in FL
Legal business name
ROXANNE MALONE
Doing business as
Roxanne Malone DDS, PA
Practice address
1511 US Highway 1
Suite 201
Sebastian, FL 32958-1611
Phone
(772) 589-6667
Fax
(772) 581-2968
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Mickey C Groothouse
Title
Office Coordinator
Phone
(772) 589-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13897 FL Primary

Addresses

Primary practice location

1511 US Highway 1
Suite 201
Sebastian, FL 32958-1611

Mailing address

1511 US Highway 1
Suite 201
Sebastian, FL 32958-1611
Phone (772) 589-6667

Other names 1

  • Roxanne Malone DDS, PA Doing business as

National Provider Directory

National Provider Directory

Locations

1511 US Highway 1
Ste 201
Sebastian, FL 32958
Phone (772) 589-6667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1801184270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 US HIGHWAY 1",
            "address_2": "SUITE 201",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581611",
            "telephone_number": "772-589-6667",
            "fax_number": "772-581-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 US HIGHWAY 1",
            "address_2": "SUITE 201",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581611",
            "telephone_number": "772-589-6667",
            "fax_number": "772-581-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE MALONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "GROOTHOUSE",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "772-589-6667"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roxanne Malone DDS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.