Joseph R. Rosenberg, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSEPH R. ROSENBERG, DDS, INC.

Practice address

6503 Rosemead Blvd
San Gabriel, CA 91775-1936

Phone

(626) 286-2156

Fax

(626) 286-2598

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Rosenberg

Title

Owner

Phone

(626) 286-2156

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1144669086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 ROSEMEAD BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751936",
            "telephone_number": "626-286-2156",
            "fax_number": "626-286-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 ROSEMEAD BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751936",
            "telephone_number": "626-286-2156",
            "fax_number": "626-286-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. ROSENBERG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-286-2156",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, 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 Jun 13, 2019; 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.