Rosenberg Dentistry: Joe Rosenberg DDS. PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSENBERG DENTISTRY: JOE ROSENBERG DDS. PA

Practice address

1037 Sheridan Suite D
Great Bend, KS 67530

Phone

(620) 792-4205

Fax

(620) 603-6300

NPI assigned

Feb 6, 2020

Organization subpart

Yes

Parent organization

JOE O ROSENBERG DDS, P.A.As reported in NPPES

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

Authorized official

Name

Joseph O Rosenberg, DDS

Title

Owner/Dentist

Phone

(620) 792-4205

Specialties & licenses 1

Addresses

Tax ID family

Joe Rosenberg DDS PA2 organizations share this tax ID, including this one

Part of

Joe Rosenberg DDS PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joe Rosenberg D.D.S., P.a.

  • General Practice Dentistry
  • Saint John, KS
  • NPI 1912099706
  NPD tax ID

Locations

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1144852302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 SHERIDAN SUITE D",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-792-4205",
            "fax_number": "620-603-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 SHERIDAN SUITE D",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-792-4205",
            "fax_number": "620-603-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBERG DENTISTRY: JOE ROSENBERG DDS. PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOE O ROSENBERG DDS, P.A.",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "620-792-4205",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L. Burkey, D.P.M., P.a.
• Graeme M. Rodgman, M.D.
• Marion Susan Rodgman, MD
• Kiersten Rogers, LMSW
• Justus Nicole Romine
• Rosewood Services, Inc.
• Cody James Ruble, FIREFIGHTER/MEDIC
• Julie M Russell, CPTA
• Leanne K Russell, LPC
• Saint-Mark Enterprises 1196 LLC

• General Practice Dentistry in Great Bend, KS
• Providers in Great Bend, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.