Individual provider Active NPI

Robert A Rosenfeld, D.D.S.

  • General Practice Dentistry
  • Solana Beach, CA
National Provider Identifier
1194737015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27675 Issued in CA
Practice address
116 W Plaza St
Suite B
Solana Beach, CA 92075-1124
Phone
(858) 755-1189
Fax
(858) 755-6406
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27675 CA Primary

Addresses

Primary practice location

116 W Plaza St
Suite B
Solana Beach, CA 92075-1124

Mailing address

116 W Plaza St
Suite B
Solana Beach, CA 92075-1124
Phone (858) 755-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 15, 2015 through Apr 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27675CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Rosenfeld DDS (a Professional Dental Corporation) Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194737015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W PLAZA ST",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751124",
            "telephone_number": "858-755-1189",
            "fax_number": "858-755-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PLAZA ST",
            "address_2": "SUITE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751124",
            "telephone_number": "858-755-1189",
            "fax_number": "858-755-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.