Steven William Roth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6068 Issued in AZ

Practice address

1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228

Phone

(623) 434-9343

Fax

(623) 321-6268

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1477637809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD",
            "address_2": "STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167675",
            "telephone_number": "602-253-6600",
            "fax_number": "602-733-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W PARKSIDE LN",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271228",
            "telephone_number": "623-434-9343",
            "fax_number": "623-321-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969470",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Roth
• Debbie Elaine Roth
• Diane D. Roth, PSYNP
• Hillary Roth
• Karlsson Roth, PH.D.
• Tina L Roth, LPN
• Zachary M Roth, D.D.S.
• Mindi L Rothans, CDC-S, CPC
• Alan J Rothbart, M.D.
• Sarah Rothfus, RD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.