Active NPI
Toedr1 LLC
Doing business as M Barry Rosenthal DPM
- Customized Equipment (DME)
- Tucson, AZ
National Provider Identifier
1386963841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- AR8108703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TOEDR | Other | AZ | TRICARE |
| 700593 05 | Medicaid | AZ | |
| 1Z1517 | Other | AZ | HEALTH NET |
| AZ0191700 | Other | AZ | BLUE CROSS BLUE SHIELD |
Other names 1
- M BARRY ROSENTHAL DPM
National Provider Directory
National Provider DirectoryNPI 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.