Individual provider Active NPI

Angelyn Rosenberger

  • General Practice Dentistry
  • Florissant, MO
National Provider Identifier
1487214813
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2019019268 Issued in MO
Practice address
1133 Howdershell Rd
Florissant, MO 63031-7520
Phone
(314) 839-9339
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2019019268 MO Primary

Addresses

Primary practice location

1133 Howdershell Rd
Florissant, MO 63031-7520

Mailing address

1133 Howdershell Rd
Florissant, MO 63031-7520
Phone (314) 839-9339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WDCangelyn@woodlanddentalcare.net Woodland Dental Care, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019019268MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Dental Care, P.C. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wdcangelyn@woodlanddentalcare.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487214813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 HOWDERSHELL RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317520",
            "telephone_number": "314-839-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 HOWDERSHELL RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317520",
            "telephone_number": "314-839-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "ANGELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019019268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WDCangelyn@woodlanddentalcare.net",
            "affiliation": "Y",
            "endpointDescription": "Professional Email Address",
            "affiliationName": "Woodland Dental Care, P.C.",
            "address_1": "1133 Howdershell Rd",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630317520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.