Dan Rosen DDS a Proffesional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

38742 Issued in CA

Legal business name

DAN ROSEN DDS A PROFFESIONAL CORPORATION

Practice address

16542 Ventura Blvd Ste 505
Encino, CA 91436-4576

Phone

(818) 907-6736

NPI assigned

Feb 21, 2013

Organization subpart

Yes

Parent organization

DAN ROSEN DDS A PROFFESIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dan Rosen

Title

Owner

Phone

(818) 907-6736

Specialties & licenses 1

Addresses

Part of

Dan Rosen DDS a Proffesional Corporation

Locations

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1073853495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 505",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 505",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364576",
            "telephone_number": "818-907-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN ROSEN DDS A PROFFESIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAN ROSEN DDS A PROFFESIONAL CORPORATION",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-907-6736"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.