Organization Active NPI

Lawrence E. Roth, DDS, MSD, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vacaville, CA
National Provider Identifier
1265909113
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LAWRENCE E. ROTH, DDS, MSD, INC.
Practice address
290 Alamo Dr Ste B
Vacaville, CA 95688-4261
Phone
(707) 448-6271
Fax
(707) 448-4742
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Dr. Lawrence E. Roth, DDS, MSDNPI 1679546998
Title
President
Phone
(707) 448-6271

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

290 Alamo Dr Ste B
Vacaville, CA 95688-4261

Mailing address

230 Fernwood Way
Dixon, CA 95620-3721
Phone (707) 880-0983

Other practice location 1

1291 Oliver Rd
Fairfield, CA 94534-3468
Phone (707) 426-5944

Other names 1

  • Roth Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doctor@rothortho.com

National Provider Directory

National Provider Directory

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": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1265909113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FERNWOOD WAY",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203721",
            "telephone_number": "707-880-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALAMO DR STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884261",
            "telephone_number": "707-448-6271",
            "fax_number": "707-448-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 Oliver Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945343468",
            "country_code": "US",
            "telephone_number": "707-426-5944",
            "fax_number": "707-426-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAWRENCE E. ROTH, DDS, MSD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-448-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctor@rothortho.com",
            "affiliation": "N",
            "address_1": "290 Alamo Dr Ste B",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956884261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roth Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roth Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.