Sandy Rosenberg DMD PL

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6981 Issued in FL

Legal business name

SANDY ROSENBERG DMD PL

Practice address

1725 Village Way
Orange Park, FL 32073-5263

Phone

(904) 265-6500

Fax

(904) 264-0995

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sanford R Rosenberg, D.M.D.NPI 1023028297

Title

Dentist/Owner

Phone

(904) 264-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sanford R Rosenberg DMD PA Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanford Robert Rosenberg, D.M.D.

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1023028297
  NPD (past) Authorized official

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1497120612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 VILLAGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735263",
            "telephone_number": "904-265-6500",
            "fax_number": "904-264-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 VILLAGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735263",
            "telephone_number": "904-265-6500",
            "fax_number": "904-264-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY ROSENBERG DMD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "904-264-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "622498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford R Rosenberg DMD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jenny Lee Sandell, LMHC, NCC, CCMHC
• Kalinah Marianna Sanders
• Kandise Nicole Sanders
• Kimberly Sanders, MD
• Sunny Sundeep Sandhu, M.D.
• Sapna Sangeet, MBBS
• Edwin Augustin Santiago, PT
• Ariana D Santino
• Samantha Sapien
• Abigail Sargent, DPT

• General Practice Dentistry in Orange Park, FL
• Providers in Orange Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.