Active NPI
Lawrence E. Roth, DDS, MSD, Inc.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Vacaville, CA
National Provider Identifier
1265909113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence E. Roth, DDS, MSD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | doctor@rothortho.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Vacaville, CA
- NPI 1679546998
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.