Organization Active NPI

Scott I Rothbart DDS LLC

  • Dentist
  • Media, PA
National Provider Identifier
1467879155
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
FR1418664 Issued in PA
Legal business name
SCOTT I ROTHBART DDS LLC
Practice address
1223 N Providence Rd
Media, PA 19063-1235
Phone
(610) 566-5555
Fax
(610) 566-4499
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Scott I Rothbart, D.D.S.
Title
President
Phone
(610) 566-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X FR1418664 PA Primary

Addresses

Primary practice location

1223 N Providence Rd
Media, PA 19063-1235

Mailing address

1223 N Providence Rd
Media, PA 19063-1235
Phone (610) 566-5555

National Provider Directory

National Provider Directory

Locations

1223 N Providence Rd
Media, PA 19063
Phone (484) 445-4145

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467879155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631235",
            "telephone_number": "610-566-5555",
            "fax_number": "610-566-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631235",
            "telephone_number": "610-566-5555",
            "fax_number": "610-566-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT I ROTHBART DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROTHBART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-566-5555",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "FR1418664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.