IndividualActive
Jose Roa, DDS
NPI 1205828423 · General Practice Dentistry · Elmhurst, NY
Jose Roa, DDS is a General Practice Dentistry provider in Elmhurst, NY (NPI 1205828423).
Provider details
- NPI number
- 1205828423
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 044819 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4071 Denman St
Elmhurst, NY 11373-1608
Phone: (718) 476-1573
Fax: (718) 478-2485
Street-level locationGet directions
Mailing address
4071 Denman St
Elmhurst, NY 11373-1608
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2012-11-05
Frequently asked questions
- What is Jose Roa's NPI number?
- Jose Roa's National Provider Identifier (NPI) is 1205828423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Roa's specialty?
- Jose Roa is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jose Roa located?
- Jose Roa's practice location on file with NPPES is 4071 Denman St, Elmhurst, NY 11373-1608.
- What is Jose Roa's phone number?
- The practice phone number listed in the NPPES registry for Jose Roa is (718) 476-1573.
- Is Jose Roa's NPI active?
- Yes — Jose Roa's NPI (1205828423) is active in the NPPES registry as of the last update on 2012-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.