Active NPI
Michael Rosen DMD a Professional Corp
- Dental Clinic/Center
- Encino, CA
National Provider Identifier
1568055242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MICHAEL ROSEN DMD A PROFESSIONAL CORP
- Practice address
- 16542 Ventura Blvd Ste 505
Encino, CA 91436-4576 - Phone
- (818) 907-6736
- NPI assigned
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael David Rosen, DMD, MPH
- Title
- Owner
- Phone
- (818) 903-1059
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
16542 Ventura Blvd Ste 505
Encino, CA 91436-4576
Mailing address
16542 Ventura Blvd Ste 505
Encino, CA 91436-4576
Phone (818) 907-6736
National Provider Directory
National Provider DirectoryLocations
16542 Ventura Blvd
Ste 505
Encino, CA 91436
Phone (818) 501-9954
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
- NPI 1700499068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1568055242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16542 VENTURA BLVD STE 505",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364576",
"telephone_number": "818-907-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16542 VENTURA BLVD STE 505",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364576",
"telephone_number": "818-907-6736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL ROSEN DMD A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-903-1059",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MPH"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
- Michael J. Hollander, M.D., Inc.
- Michael J. Hyman, M.D., Inc.
- Michael M. Keramati, DO a Medical Corporation
- Michael Popkin, M.D.
- Michael R. Shapiro, M.D., Inc.
- Michael S and Pamela Simmons (Encino Center for Sleep & TMJ Disorders)
- Michael S. Goldman, M.D., Inc.
- Michael S. Reder, M.D., a Medical Corporation
- Michael S. Winston, M.D. a.M.C.
- Michael Shamtoub DDS Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.