NPIMap

Organization Active NPI

Robert a. Rosenbaum, DDS, Inc.

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1093749251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31100 Issued in CA
Legal business name
ROBERT A. ROSENBAUM, DDS, INC.
Doing business as
Dr. Rosenbaum and Associates
Practice address
2200 McHenry Ave Ste B
Modesto, CA 95350-3255
Phone
(209) 526-9132
Fax
(209) 526-9131
NPI assigned
Jul 11, 2006
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. Robert A Rosenbaum, DDS
Title
President/ Dentist
Phone
(209) 526-9132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31100 CA Primary

Addresses

Primary practice location

2200 McHenry Ave Ste B
Modesto, CA 95350-3255

Mailing address

2200 McHenry Ave Ste B
Modesto, CA 95350-3255
Phone (209) 526-9132

Other names 1

  • Dr. Rosenbaum and Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093749251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MCHENRY AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503255",
            "telephone_number": "209-526-9132",
            "fax_number": "209-526-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MCHENRY AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503255",
            "telephone_number": "209-526-9132",
            "fax_number": "209-526-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. ROSENBAUM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "209-526-9132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Rosenbaum and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

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.