Rolando Ponce, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN-12772 Issued in FL

Practice address

12207 N Florida Ave
Tampa, FL 33612-4213

Phone

(813) 930-9406

Fax

(813) 930-9416

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Rolando Ponce D.D.S P.a.

  • Dentist
  • Tampa, FL
  • NPI 1760562805
  NPD (past) Authorized official
• Vivian Medina D.D.S P.a.

  • Dentist
  • Tampa, FL
  • NPI 1295815322
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841213808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15711 MAPLEDALE DR",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243112",
            "telephone_number": "813-264-0286",
            "fax_number": "813-960-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124213",
            "telephone_number": "813-930-9406",
            "fax_number": "813-930-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN-12772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073648100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Ponce
• Giselle Ponce
• Johan Ponce, DPM
• Loni Ponce
• Nathalie Ponce
• George William Poncy III, PHD
• Bharat Ponnaganti
• Alexandra Pontaoe
• Aiyannah Yasmiah Pontikos
• Christine Poole

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.