Orthoodntics Only

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

17997 Issued in CA

Legal business name

ORTHOODNTICS ONLY

Practice address

11633 Hawthorne Blvd
Suite #500
Hawthorne, CA 90250-2321

Phone

(310) 644-4412

Fax

(310) 644-7355

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Farel A. Rosenberg, DDS,DMD

Title

Doctor

Phone

(310) 644-4412

Specialties & licenses 1

Addresses

Other identifiers 9

Tax ID family

Farel a Rosenberg DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Farel a. Rosenberg DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hawthorne, CA
  • NPI 1689025538
  NPD tax ID
• Orthodontics Only

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hawthorne, CA
  • NPI 1730534751
  NPD tax ID

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659414142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "SUITE #500",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-644-4412",
            "fax_number": "310-644-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "SUITE #500",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-644-4412",
            "fax_number": "310-644-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOODNTICS ONLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "FAREL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-644-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "17997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "189379",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTACARE PMI",
            "identifier": "259102",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDENWEST",
            "identifier": "B102",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DMO",
            "identifier": "98118",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "105969",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G90737-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS INSURANCE",
            "identifier": "102231",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION",
            "identifier": "7072",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "549733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Orjiakor
• Abiola Orkeh
• Arleen S Orrante
• Anthony Ortega, DDS
• Orthodontics Only
• Ana Rosa Ortiz, D.D.S.
• Cindy Paola Ortiz, COTA/L
• Otto Stallworth, M.D.,Inc.
• Caitlin Outland, PA-C
• P K Sehdeva MD a Professional Corporation

• Preferred Provider Organization in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.