NPIMap

Organization Active NPI

Robert D. Rosenberg, D.D.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterford, CT
National Provider Identifier
1003037953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8223 Issued in CT
Legal business name
ROBERT D. ROSENBERG, D.D.S., P.C.
Doing business as
Connecticut Orthodontic Specialists
Practice address
914 Hartford Tpke
Waterford, CT 06385-4229
Phone
(860) 439-1022
Fax
(860) 447-1766
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert David Rosenberg, D.D.S.
Title
President
Phone
(860) 439-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8223 CT Primary

Addresses

Primary practice location

914 Hartford Tpke
Waterford, CT 06385-4229

Mailing address

914 Hartford Tpke
Waterford, CT 06385-4229
Phone (860) 439-1022

Other names 1

  • Connecticut Orthodontic Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Orthodontic Specialists4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003037953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 HARTFORD TPKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854229",
            "telephone_number": "860-439-1022",
            "fax_number": "860-447-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 HARTFORD TPKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854229",
            "telephone_number": "860-439-1022",
            "fax_number": "860-447-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. ROSENBERG, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-439-1022",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "8223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.