Organization Active NPI

Rosenbaum Dental Corp

Doing business as Culver Village Dental

  • Dental Clinic/Center
  • Culver City, CA
National Provider Identifier
1093532731
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROSENBAUM DENTAL CORP
Doing business as
Culver Village Dental
Practice address
10538 Venice Blvd
Culver City, CA 90232-3308
Phone
(310) 838-1069
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Dr. Benjamin Rosenbaum, DDS
Title
Dentist
Phone
(310) 838-1069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10538 Venice Blvd
Culver City, CA 90232-3308

Mailing address

10538 Venice Blvd
Culver City, CA 90232-3308

Other names 1

  • Culver Village Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10538 Venice Blvd
Culver City, CA 90232
Phone (310) 838-1069

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1093532731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323308",
            "telephone_number": "310-838-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBAUM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-838-1069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culver Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.