Rose Dental at Lakewood Ranch, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSE DENTAL AT LAKEWOOD RANCH, PLLC

Practice address

5561 Broadcast CT
Lakewood Ranch, FL 34240-8472

Phone

(941) 210-3975

Fax

(941) 487-7905

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rose Hoang Le, DMDNPI 1972916930

Title

Owner

Phone

(941) 210-3975

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Hoang Le, D.M.D.

  • Dentist
  • Lakewood Ranch, FL
  • NPI 1972916930
  NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1891468328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 BROADCAST CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408472",
            "telephone_number": "561-309-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 BROADCAST CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408472",
            "telephone_number": "941-210-3975",
            "fax_number": "941-487-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DENTAL AT LAKEWOOD RANCH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-210-3975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972916930",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Roesch, PA-C
• Kristina Roesler, RBT
• Landon James Rohowetz, MD
• Javier Rojas, MD
• Roots Health Centers PLLC
• Jill Christin Rose, PT
• Kimberly M Ross
• Nicholas Ross
• Fallon Rossano
• Valerie Roth, PSY. D.

• General Practice Dentistry in Lakewood Ranch, FL
• Providers in Lakewood Ranch, 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 Aug 12, 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.

Verify at the official NPI Registry.