Active NPI
Sol Rosenberg, D.M.D.
- Periodontics
- Narberth, PA
National Provider Identifier
1134344674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS020618L
- Practice address
- 632 Montgomery Ave
Narberth, PA 19072-2031 - Phone
- (610) 667-7250
- Fax
- (610) 664-5293
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS020618L | PA | Primary |
Addresses
Primary practice location
632 Montgomery Ave
Narberth, PA 19072-2031
Mailing address
632 Montgomery Ave
Narberth, PA 19072-2031
Phone (610) 667-7250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS020618L | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1134344674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 MONTGOMERY AVE",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722031",
"telephone_number": "610-667-7250",
"fax_number": "610-664-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 MONTGOMERY AVE",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722031",
"telephone_number": "610-667-7250",
"fax_number": "610-664-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "SOL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS020618L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.