Active NPI
Rosana Rosentrater, DMD
- Pediatric Dentistry
- Philadelphia, PA
National Provider Identifier
1356570352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS030758L
- Practice address
- 240 South 40TH St Suite F-17
University of Pennsylvania School of Dental Medicine
Philadelphia, PA 19104-6003 - Phone
- (215) 898-8979
- Fax
- (215) 746-2060
- NPI assigned
- Jul 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS030758L | PA | Primary |
Addresses
Primary practice location
240 South 40TH St Suite F-17
University of Pennsylvania School of Dental Medicine
Philadelphia, PA 19104-6003
Mailing address
2601 Pennsylvania Ave
Unit 548
Philadelphia, PA 19130-2314
Phone (267) 972-8263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS030758L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1356570352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 PENNSYLVANIA AVE",
"address_2": "UNIT 548",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302314",
"telephone_number": "267-972-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 SOUTH 40TH ST SUITE F-17",
"address_2": "UNIVERSITY OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191046003",
"telephone_number": "215-898-8979",
"fax_number": "215-746-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTRATER",
"first_name": "ROSANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-11",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS030758L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.