Organization Active NPI

Larry Rosenthal,DMD,PC

  • Dentist
  • Glendale, NY
National Provider Identifier
1528197688
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30696 Issued in NY
Legal business name
LARRY ROSENTHAL,DMD,PC
Practice address
7143 66TH PL
Glendale, NY 11385-7047
Phone
(718) 497-1728
Fax
(718) 497-2761
NPI assigned
Mar 5, 2007
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Larry RosenthalNPI 1306904024
Title
DMD
Phone
(718) 497-1728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30696 NY Primary

Addresses

Primary practice location

7143 66TH PL
Glendale, NY 11385-7047

Mailing address

7143 66TH PL
Glendale, NY 11385-7047
Phone (718) 497-1728

Other identifiers 1

IdentifierTypeStateIssuer
00283876MedicaidNY

National Provider Directory

National Provider Directory

Locations

7143 66th Pl
Glendale, NY 11385
Phone (718) 497-1728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1528197688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 66TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857047",
            "telephone_number": "718-497-1728",
            "fax_number": "718-497-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 66TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857047",
            "telephone_number": "718-497-1728",
            "fax_number": "718-497-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY ROSENTHAL,DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "718-497-1728",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "30696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00283876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.