Roshen G Ganesh DDS, PDD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49752 Issued in CA

Legal business name

ROSHEN G GANESH DDS, PDD, INC

Practice address

1418 7TH St
#101
Santa Monica, CA 90401-2694

Phone

(310) 458-4000

Fax

(310) 458-4003

NPI assigned

Apr 10, 2015

Organization subpart

No

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

Authorized official

Name

Roshen Ganesh, D.D.S.

Title

Owner

Phone

(310) 458-4000

Specialties & licenses 1

Addresses

Other names 1

• Santa Monica Esthetic Dentistry Doing business as

Locations

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1134515653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 7TH ST",
            "address_2": "#101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012694",
            "telephone_number": "310-458-4000",
            "fax_number": "310-458-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 7TH ST",
            "address_2": "#101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012694",
            "telephone_number": "310-458-4000",
            "fax_number": "310-458-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHEN G GANESH DDS, PDD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "GANESH",
        "authorized_official_first_name": "ROSHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-458-4000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Esthetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula M Rosenfeld, MA, MFT
• Alison Kate Rosenthal, MS, RD
• Cheryl Joy Rosenthal, LCSW
• Scott Rosenzweig, M.D.
• Roshan Medical Group PC
• Roshen G Ganesh, DDS, PDD, Inc
• Elayne Rosoff, PH.D.
• Amber Ross
• Ellie Ross, M.F.T.
• Jennifer Beth Ross, COTA/L

• General Practice Dentistry in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.