Charles J Roth DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DL 28481 Issued in CA

Legal business name

CHARLES J ROTH DDS INC

Practice address

412 Cernon St Ste C
Vacaville, CA 95688-4549

Phone

(707) 448-5339

Fax

(707) 447-0956

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles J Roth, DDSNPI 1982627410

Title

President

Phone

(707) 448-5339

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles J Roth, D.D.S.

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1982627410
  NPD (past) Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1184816589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CERNON ST STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95688",
            "telephone_number": "707-448-5339",
            "fax_number": "707-447-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CERNON ST STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884549",
            "telephone_number": "707-448-5339",
            "fax_number": "707-447-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J ROTH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-448-5339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DL 28481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hon Y Chan, M.D.
• Kam Chan, D.O.
• Janet E Chapman, PTA
• Kathryn Eunice Charbonneau, R.D., CNSD
• Charito Riano-Asiain, DMD, Inc
• Brittney Charlton
• Jessa Carmelle Calope Chatto
• Stephania Chavarin
• Christine Chavez
• Gerald Joseph Chavez, D.C.

• Dental Clinic/Center in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.