Organization Active NPI

Toedr1 LLC

Doing business as M Barry Rosenthal DPM

  • Customized Equipment (DME)
  • Tucson, AZ
National Provider Identifier
1386963841
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
AR8108703 Issued in AZ
Legal business name
TOEDR1 LLC
Doing business as
M Barry Rosenthal DPM
Practice address
6548 E Carondelet Dr
Tucson, AZ 85710-2117
Phone
(520) 293-6000
Fax
(520) 299-6571
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Martin Barry Rosenthal, DPM
Title
Owner
Phone
(520) 299-9499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X AR8108703 AZ Primary

Addresses

Primary practice location

6548 E Carondelet Dr
Tucson, AZ 85710-2117

Mailing address

6516 N Via Divina
Tucson, AZ 85750-0970
Phone (520) 299-9499

Other identifiers 4

IdentifierTypeStateIssuer
TOEDROtherAZTRICARE
700593 05MedicaidAZ
1Z1517OtherAZHEALTH NET
AZ0191700OtherAZBLUE CROSS BLUE SHIELD

Other names 1

  • M BARRY ROSENTHAL DPM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1386963841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 N VIA DIVINA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500970",
            "telephone_number": "520-299-9499",
            "fax_number": "520-299-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-293-6000",
            "fax_number": "520-299-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOEDR1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-299-9499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "AR8108703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TOEDR",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700593 05",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z1517",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0191700",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M BARRY ROSENTHAL DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.