Individual provider Active NPI

Priyanka Roperia, DMD

  • Dentist
  • Lady Lake, FL
National Provider Identifier
1801247309
Registry record updated Jun 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21851 Issued in FL
Practice address
870 N US Highway 27
Suite a
Lady Lake, FL 32159-3107
Phone
(352) 282-4785
NPI assigned
Jun 26, 2016
Last updated
Jun 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21851 FL Primary

Addresses

Primary practice location

870 N US Highway 27
Suite a
Lady Lake, FL 32159-3107

Mailing address

423 Highway 466
Apt # 3201
Lady Lake, FL 32159-3798
Phone (973) 974-0448

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
I20161027000108 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6103104054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21851FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lady Lake Smiles Dentistry, PA Past 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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1801247309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 HIGHWAY 466",
            "address_2": "APT # 3201",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593798",
            "telephone_number": "973-974-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N US HIGHWAY 27",
            "address_2": "SUITE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593107",
            "telephone_number": "352-282-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPERIA",
        "first_name": "PRIYANKA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.