Active NPI
Rachel Rosen
- Dentist
- Penn Valley, PA
National Provider Identifier
1548064496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112767
- Practice address
- 1616 Gerson Dr
Penn Valley, PA 19072-1232 - Phone
- (610) 657-6799
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 112767 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA |
Addresses
Primary practice location
1616 Gerson Dr
Penn Valley, PA 19072-1232
Mailing address
1616 Gerson Dr
Penn Valley, PA 19072-1232
Phone (610) 657-6799
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1548064496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 GERSON DR",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721232",
"telephone_number": "610-657-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 GERSON DR",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721232",
"telephone_number": "610-657-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "112767",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.