NPIMap

Organization Active NPI

Millard Roth, DDS Inc

  • General Practice Dentistry
  • Laguna Hills, CA
National Provider Identifier
1578765673
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36275 Issued in CA
Legal business name
MILLARD ROTH, DDS INC
Practice address
24741 Alicia Pkwy
Suite a
Laguna Hills, CA 92653-4613
Phone
(949) 855-0450
Fax
(949) 855-0492
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Millard Roth, DDSNPI 1396815783
Title
Dentist
Phone
(949) 855-0450

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36275 CA Primary

Addresses

Primary practice location

24741 Alicia Pkwy
Suite a
Laguna Hills, CA 92653-4613

Mailing address

24741 Alicia Pkwy
Suite a
Laguna Hills, CA 92653-4613
Phone (949) 855-0450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1578765673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24741 ALICIA PKWY",
            "address_2": "SUITE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534613",
            "telephone_number": "949-855-0450",
            "fax_number": "949-855-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24741 ALICIA PKWY",
            "address_2": "SUITE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534613",
            "telephone_number": "949-855-0450",
            "fax_number": "949-855-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLARD ROTH, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MILLARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-855-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.