Jennifer Rottenberg, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

650 W Baltimore St
Baltimore, MD 21201-1510

Phone

(443) 632-6532

NPI assigned

Apr 1, 2019

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1639631682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CHARLES ST UNIT 432",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303886",
            "telephone_number": "443-632-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "443-632-6532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12330 High Stakes Dr",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211365772",
            "country_code": "US",
            "telephone_number": "443-632-6532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTTENBERG",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Rothstein, M.D.
• Mark William Rothstein, DPM
• Sara Rothstein, LCPC
• Rachel Lee Rothwell, LGSW
• Bolanle Kemi Rotimi-Ohai, CRNA
• Rosemarie A. Rottloff, CRNP-A
• Gerald Rottman, M.D.
• Jeffrey Rottman, MD
• Steven Joel Rottman, M.D.
• Dahlia Rouchon, CRNA

• Student in an Organized Health Care Education/Training Program in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Student in an Organized Health Care Education/Training Program in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.