Ian Katz Rosengarten, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

061917 Issued in NY

Practice address

1414 E Main St
Shrub Oak, NY 10588-1410

Phone

(914) 685-6714

NPI assigned

Feb 20, 2020

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ian Rosengarten DDS PLLC

  dba Shrub Oak Smiles

  • Dental Clinic/Center
  • Shrub Oak, NY
  • NPI 1215746938
  NPD Authorized official
• Brightway Dental PC

  dba Brightway Dental

  • Dentist
  • Yorktown Heights, NY
  • NPI 1497540215
  NPD
• Dental Implant and Cosmetic, PC

  • General Practice Dentistry
  • Yorktown Heights, NY
  • NPI 1659649424
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1184257933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 QUINLAN ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982010",
            "telephone_number": "609-477-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST",
            "city": "SHRUB OAK",
            "state": "NY",
            "postal_code": "105881410",
            "telephone_number": "914-685-6714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "876 Mile Square Rd",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107042034",
            "country_code": "US",
            "telephone_number": "914-207-6087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984231",
            "country_code": "US",
            "telephone_number": "914-243-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENGARTEN",
        "first_name": "IAN",
        "middle_name": "KATZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061917",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061917",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Shrub Oak, NY
• Providers in Shrub Oak, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.