NPIMap

Organization Active NPI

Clive Rosenbusch

Doing business as Clive Rosenbusch, BDS

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1184789885
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9306 Issued in FL
Legal business name
CLIVE ROSENBUSCH
Doing business as
Clive Rosenbusch, BDS
Practice address
2499 Glades Rd
Suite 307
Boca Raton, FL 33431-7209
Phone
(561) 394-7888
Fax
(561) 394-4007
NPI assigned
Dec 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Dr. Clive Rosenbusch, BDSNPI 1003210436
Title
Owner
Phone
(561) 394-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9306 FL Primary

Addresses

Primary practice location

2499 Glades Rd
Suite 307
Boca Raton, FL 33431-7209

Mailing address

2499 Glades Rd
Suite 307
Boca Raton, FL 33431-7209
Phone (561) 394-7888

Other names 1

  • Clive Rosenbusch, BDS Doing business as

National Provider Directory

National Provider Directory

Locations

2499 Glades Rd
Ste 307
Boca Raton, FL 33431
Phone (561) 394-7888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1184789885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "SUITE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317209",
            "telephone_number": "561-394-7888",
            "fax_number": "561-394-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "SUITE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317209",
            "telephone_number": "561-394-7888",
            "fax_number": "561-394-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIVE ROSENBUSCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBUSCH",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-394-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clive Rosenbusch, BDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.