Cindy Roark, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16590 Issued in FL

Practice address

4010 W Boy Scout Blvd
Suite 1100
Tampa, FL 33607-5727

Phone

(813) 288-1999

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1811090178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W BOY SCOUT BLVD",
            "address_2": "SUITE 1100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071421",
            "telephone_number": "813-288-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W BOY SCOUT BLVD",
            "address_2": "SUITE 1100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075727",
            "telephone_number": "813-288-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "CINDY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000008295",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013293",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001835600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rnumou Health and Wellness
• Hanna Ro Dowell, DO
• Roa Wound Care Corp
• Christina M Roach, MA, LMHC, NCC, DCC
• Alia Roark, MS, RBT
• Sarah Michelle Roark, MOT, OTR/L
• Vonda Kay Roath, LMHC
• Leticia E Robaina Garcia
• Paulina Robalino, LCSW
• Carrie Robart, PA

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 Apr 10, 2015; 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.