Mike M Roh DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIKE M ROH DDS DENTAL CORPORATION

Practice address

11550 Rosecrans Ave Ste 101
Norwalk, CA 90650-3881

Phone

(562) 474-1100

Fax

(562) 474-1438

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Min Roh, D.D.S.

Title

President

Phone

(562) 474-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1689145252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 ROSECRANS AVE STE 101",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503881",
            "telephone_number": "562-474-1100",
            "fax_number": "562-474-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 ROSECRANS AVE STE 101",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503881",
            "telephone_number": "562-474-1100",
            "fax_number": "562-474-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE M ROH DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-474-1100",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Norwalk, CA
• Providers in Norwalk, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.