Individual provider Active NPI

Paul J Rosenblitt, DDS

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1679660146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21543 Issued in OH
Practice address
1148 Euclid Avenue
Suite 317
Cleveland, OH 44115-1604
Phone
(216) 781-2444
Fax
(216) 781-0990
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21543 OH Primary
General Practice Dentistry 1223G0001X DN15591 FL

Addresses

Primary practice location

1148 Euclid Avenue
Suite 317
Cleveland, OH 44115-1604

Mailing address

1148 Euclid Avenue
Suite 317
Cleveland, OH 44115-1604
Phone (216) 781-2444

Other identifiers 1

IdentifierTypeStateIssuer
01593816OtherUNITED CONCORDIA OF PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN15591FLMDGeneral Practice Dentistry
21543OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Rosenblitt DDS Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679660146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 EUCLID AVENUE",
            "address_2": "SUITE 317",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151604",
            "telephone_number": "216-781-2444",
            "fax_number": "216-781-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 EUCLID AVENUE",
            "address_2": "SUITE 317",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151604",
            "telephone_number": "216-781-2444",
            "fax_number": "216-781-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLITT",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21543",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA OF PA",
            "identifier": "01593816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.