Jeffrey S Rosenthal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20624 Issued in OH

Practice address

1727 Streetsboro PLZ
Streetsboro, OH 44241-5635

Phone

(330) 626-3814

Fax

(330) 626-2169

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Group of Aurora, Jeffrey S. Rosenthal DDS, LLC

  • Dentist
  • Aurora, OH
  • NPI 1003780016
  NPD Authorized official
• Streetsboro Dental

  • General Practice Dentistry
  • Streetsboro, OH
  • NPI 1013386739
  NPD (past)
• Streetsboro Dental Partners Inc

  • General Practice Dentistry
  • Streetsboro, OH
  • NPI 1649437336
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1427199181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 STREETSBORO PLZ",
            "address_2": "P.O. BOX 2006",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415635",
            "telephone_number": "330-626-3814",
            "fax_number": "330-626-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 STREETSBORO PLZ",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415635",
            "telephone_number": "330-626-3814",
            "fax_number": "330-626-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lonna Louise Safko, M.D.
• Andrew Michael Salamacha, PHARMD

• General Practice Dentistry in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.