Fawn Rosenberg DMD Fagd PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MA16173 Issued in MA

Legal business name

FAWN ROSENBERG DMD FAGD PC

Practice address

922 Waltham Street
Suite 202
Lexington, MA 02421

Phone

(781) 861-6008

Fax

(781) 240-0264

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fawn E Rosenberg, DMD, FAGD

Title

Dentist/Owner

Phone

(781) 861-6008

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fawn Rosenberg DMD FAGD Other name

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1033224605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 WALTHAM STREET",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02421",
            "telephone_number": "781-861-6008",
            "fax_number": "781-240-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 WALTHAM STREET",
            "address_2": "SUITE 202",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02421",
            "telephone_number": "781-861-6008",
            "fax_number": "781-240-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWN ROSENBERG DMD FAGD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "FAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-861-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, FAGD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "10473",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA16173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "X11765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fawn Rosenberg DMD FAGD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaine Farash, LICSW
• Nina Marie Farivari, M.D.
• Marianne Daisy Farkas, SCD
• Kaelin Farmer
• Catherine R Favrot
• Kristin Fehlauer
• William P Feiring, D.C.
• Lynne D Feldman, LICSW
• Peter Steven Feldman, D.P.H.
• Ricki Feldman

• General Practice Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.