Active NPI
Robert M. Rosenberg, D.D.S., PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rockland, ME
National Provider Identifier
1164658076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2291
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649343849 | Other | ME | INDIVIDUAL NPI NUMBER |
| 107630000 | Other | ME | MAINECARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.