Tara Marie Resnik, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23402 Issued in FL

Practice address

229 Wheelhouse LN Ste 1241
Lake Mary, FL 32746-3665

Phone

(954) 701-0871

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Bentleyville Sedation Dentistry PC

  • Dental Clinic/Center
  • Bentleyville, PA
  • NPI 1881266906
  NPD (past)
• Dr. Joel S. Rozen & Associates PC

  • General Practice Dentistry
  • Bentleyville, PA
  • NPI 1104004084
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1982195194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 STONEFIELD LOOP",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465337",
            "telephone_number": "386-742-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WHEELHOUSE LN STE 1241",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463665",
            "telephone_number": "954-701-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Bentleyville",
            "state": "PA",
            "postal_code": "153141027",
            "country_code": "US",
            "telephone_number": "724-239-3533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12250 Strategy Blvd Ste 437",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328172108",
            "country_code": "US",
            "telephone_number": "407-284-1645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2409 S Woodland Blvd",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "32720",
            "country_code": "US",
            "telephone_number": "386-742-4359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Delafield Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152151802",
            "country_code": "US",
            "telephone_number": "412-822-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESNIK",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041946",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Michael Reiner, MD
• Mojka Renaud, AP
• Ivan R Repass, PA-C
• Reproductive Medicine Associates of Florida
• Pamela Jennifer Resnick, M.A.,CCC-SLP
• Emily Reyes
• Elizabeth Reyna-Hernandez
• Susanne Elizabeth Rhoads
• Kemley Marie Rhodes
• Rebekah Rich, RN

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, 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 Mar 7, 2022; 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.