Organization Active NPI

Robert M. Rosenberg, D.D.S., PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockland, ME
National Provider Identifier
1164658076
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2291 Issued in ME
Legal business name
ROBERT M. ROSENBERG, D.D.S., PA
Practice address
232 Broadway
Rockland, ME 04841-2610
Phone
(207) 594-2124
Fax
(207) 594-2125
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Dr. Robert M Rosenberg, ORTHODONTIST
Title
Owner/Doctor
Phone
(207) 594-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2291 ME Primary

Addresses

Primary practice location

232 Broadway
Rockland, ME 04841-2610

Mailing address

PO Box 887
232 Broadway
Rockland, ME 04841-0887
Phone (207) 594-2124

Other identifiers 2

IdentifierTypeStateIssuer
1649343849OtherMEINDIVIDUAL NPI NUMBER
107630000OtherMEMAINECARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1164658076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "address_2": "232 BROADWAY",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410887",
            "telephone_number": "207-594-2124",
            "fax_number": "207-594-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BROADWAY",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412610",
            "telephone_number": "207-594-2124",
            "fax_number": "207-594-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. ROSENBERG, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "207-594-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ORTHODONTIST"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1649343849",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE PROVIDER NUMBER",
            "identifier": "107630000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.