Organization Active NPI

Ronald B Roth DDS PC

  • Dentist
  • Elmont, NY
National Provider Identifier
1033245568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0281491 Issued in NY
Legal business name
RONALD B ROTH DDS PC
Practice address
1810 Harriet St
Elmont, NY 11003
Phone
(516) 354-3371
Fax
(516) 488-5027
NPI assigned
Feb 26, 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
Dr. Ronald B Roth, DDS
Title
Dentist President
Phone
(516) 354-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0281491 NY Primary

Addresses

Primary practice location

1810 Harriet St
Elmont, NY 11003

Mailing address

1810 Harriet St
Elmont, NY 11003
Phone (516) 354-3371

National Provider Directory

National Provider Directory

Locations

1810 Harriet St
Elmont, NY 11003
Phone (516) 354-3371

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033245568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 HARRIET ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "11003",
            "telephone_number": "516-354-3371",
            "fax_number": "516-488-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 HARRIET ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "11003",
            "telephone_number": "516-354-3371",
            "fax_number": "516-488-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B ROTH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "516-354-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0281491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

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.