Individual provider Active NPI

Rosana Rosentrater, DMD

  • Pediatric Dentistry
  • Philadelphia, PA
National Provider Identifier
1356570352
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS030758L Issued in PA
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

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DS030758LPAMDPediatric 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.

Verify at the official NPI Registry.