Rosenthall Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12010065 Issued in IN

Legal business name

ROSENTHALL ORTHODONTICS

Practice address

610 South Yillotson Avenue
Suite 210
Muncie, IN 47304-4450

Phone

(765) 289-2377

Fax

(765) 289-3409

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Mark R Rosenthall, D.D.S, M.S.D.

Title

Owner

Phone

(765) 289-2377

Specialties & licenses 1

Addresses

Tax ID family

Rosenthall Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rosenthall Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Muncie, IN
  • NPI 1760586887
  NPD tax ID

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1497906556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOUTH YILLOTSON AVENUE",
            "address_2": "SUITE 210",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044450",
            "telephone_number": "765-289-2377",
            "fax_number": "765-289-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOUTH YILLOTSON AVENUE",
            "address_2": "SUITE 210",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044450",
            "telephone_number": "765-289-2377",
            "fax_number": "765-289-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENTHALL ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "ROSENTHALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-289-2377",
        "authorized_official_credential": "D.D.S, M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12010065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldrin Codilla Roque, MD
• Karen Roque
• Emily B Rose, M.D.
• Starr Rose
• Mary Jo Roseberry, PH.D.
• Rosenthall Orthodontics PC
• Mark Rex Rosenthall, DDS, MSD
• Kaileigh Ross
• Kara Jane Ross
• Kayla Ross

• All providers in Muncie, IN
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.