Individual provider Active NPI

David Michael Roshkind, D.M.D.

  • General Practice Dentistry
  • Palm Beach Gardens, FL
National Provider Identifier
1821013269
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 7407 Issued in FL
Practice address
5520 Pga Blvd Ste 208
Palm Beach Gardens, FL 33418-3981
Phone
(561) 776-6177
Fax
(561) 776-3745
NPI assigned
Jul 13, 2006
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 7407 FL Primary

Addresses

Primary practice location

5520 Pga Blvd Ste 208
Palm Beach Gardens, FL 33418-3981

Mailing address

2480 Presidential Way Apt 901
West Palm Beach, FL 33401-1356
Phone (561) 386-4639

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
I20160121000881 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8628371887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 7407FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David M. Roshkind, DMD, P.a. 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1821013269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 PRESIDENTIAL WAY APT 901",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011356",
            "telephone_number": "561-386-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PGA BLVD STE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183981",
            "telephone_number": "561-776-6177",
            "fax_number": "561-776-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHKIND",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 7407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.