Howard Roth, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040164-1 Issued in NY

Practice address

2580 E Tremont Ave
Bronx, NY 10461-2810

Phone

(718) 824-4597

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Starbrite Dental PLLC

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1699252916
  NPD (past) Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1093703258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612810",
            "telephone_number": "718-824-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612810",
            "telephone_number": "718-824-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040164-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00986301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Rotchford, REGISTERED NURSE
• Ohad D Rotenberg, MD
• Sheri Rotenberg, M.S., CCC-SLP
• Christine Joan Roth, M.A SLP-CCC
• Cyrelle F Roth, OTR/L
• James A Roth
• Jennifer Lobban Roth
• Lauren Tannenbaum Roth, MD
• Laurence Charles Roth, DDS
• Matthew Jacob Roth, LAC

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.