Active NPI
Daisy Liz Montoyo Rosario, D.M.D.
- Pediatric Dentistry
- Wellington, FL
National Provider Identifier
1891156238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN23699
- Practice address
- 3319 S State Road 7 Ste 213
Wellington, FL 33449-8146 - Phone
- (561) 333-8441
- NPI assigned
- Mar 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 060001 | NY | |
| Pediatric Dentistry | 1223P0221X | DN23699 | FL | Primary |
Addresses
Primary practice location
3319 S State Road 7 Ste 213
Wellington, FL 33449-8146
Mailing address
126 1St CT
Palm Beach Gardens, FL 33410-5101
Phone (939) 640-7475
Other practice location 1
150 55th St
Station 20
Brooklyn, NY 11220-2508
Phone (939) 640-7475
Other practice location 2
291 Knickerbocker Ave
Brooklyn, NY 11237-3103
Phone (347) 663-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23699 | FL | MD | Pediatric Dentist |
| 060001 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomer Haik, DDS, PA | Pediatric Dentistry | Current | Accepting new patients |
Locations
3319 S State Road 7
Ste 213
Wellington, FL 33449
Phone (561) 333-8441
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.
-
- Pediatric Dentistry
- Wellington, FL
- NPI 1316833833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1891156238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 1ST CT",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334105101",
"telephone_number": "939-640-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 S STATE ROAD 7 STE 213",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498146",
"telephone_number": "561-333-8441"
}
],
"practiceLocations": [
{
"address_1": "150 55th St",
"address_2": "Station 20",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202508",
"country_code": "US",
"telephone_number": "939-640-7475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "291 Knickerbocker Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112373103",
"country_code": "US",
"telephone_number": "347-663-4141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTOYO ROSARIO",
"first_name": "DAISY",
"middle_name": "LIZ",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-13",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "060001",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN23699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.