Lawrence E Roth, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS101861 Issued in CA

Practice address

290 Alamo Dr Ste B
Vacaville, CA 95688-4261

Phone

(707) 423-7023

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lawrence E. Roth, DDS, MSD, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vacaville, CA
  • NPI 1265909113
  NPD Authorized official

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1679546998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ALAMO DR STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884261",
            "telephone_number": "707-448-6271",
            "fax_number": "707-448-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALAMO DR STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884261",
            "telephone_number": "707-423-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 Oliver Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945343468",
            "country_code": "US",
            "telephone_number": "707-426-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS101861",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "289114-9921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Rose
• Shauna Rose, LCSW
• Lakesha Ross
• Susan J. Rosten, NP
• Charles J Roth, D.D.S.
• Kathleen Marie Rowland, MD
• Alex Rowley
• Hazelann B Roxas, MD
• Michelle Roy-Davila
• Karina C Rubio

• Orthodontics and Dentofacial Orthopedics Dentistry in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.