Ronald M Rosenberg, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

040103887 Issued in VA

Practice address

8308 Old Courthouse Rd
Vienna, VA 22182-3863

Phone

(703) 893-1640

Fax

(703) 893-2004

NPI assigned

Jul 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 12, 2013 through Aug 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald M Rosenberg DDS Ms LTD

  • Dentist
  • Vienna, VA
  • NPI 1194830380
  NPD (past) Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1609283373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 OLD COURTHOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823863",
            "telephone_number": "703-893-1640",
            "fax_number": "703-893-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OLD COURTHOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823863",
            "telephone_number": "703-893-1640",
            "fax_number": "703-893-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "040103887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elizabeth Romero, RN, IBCLC
• Ronald M Rosenberg DDS Ms LTD
• Damon Roozbehan, DDS
• Andrea C Rosales, MA, CCC-SLP
• Brooke Rose
• Anne C Ross, LCSW
• Carolyn 'Carlie' French Ross, L.C.S.W.
• Cesean Ross, RBT
• Deborah Ross, L.P.C.
• Julia Ross, RBT

• Periodontics in Vienna, VA
• Providers in Vienna, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.