Individual provider Active NPI

Oscar David Rosario, DMD

  • Dentist
  • Clermont, FL
National Provider Identifier
1831400787
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20058 Issued in FL
Practice address
659 W Juniata St
Clermont, FL 34711-2111
Phone
(352) 241-2021
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028837 IL
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN20058 FL Primary

Addresses

Primary practice location

659 W Juniata St
Clermont, FL 34711-2111

Mailing address

659 W Juniata St
Clermont, FL 34711-2111
Phone (352) 241-2021

Other practice location 1

213 S Dillard St Ste 140
Winter Garden, FL 34787-3596
Phone (407) 905-9965

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
I20160502001911 FL Order and Referring Only - DentistPractitioner - Dentist 8628377330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028837ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar D Rosario-Perez, DMD, LLC Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1831400787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 W JUNIATA ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112111",
            "telephone_number": "352-241-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 W JUNIATA ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112111",
            "telephone_number": "352-241-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 S Dillard St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347873596",
            "country_code": "US",
            "telephone_number": "407-905-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "OSCAR",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028837",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.