Theodosiou & Rosenbaum General Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043046 Issued in NY

Legal business name

THEODOSIOU & ROSENBAUM GENERAL DENTISTRY

Practice address

3304 91St St
#1W
Jackson Heights, NY 11372-1752

Phone

(718) 899-4455

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig Rosenbaum, DDSNPI 1063401560

Title

Partner

Phone

(718) 899-4455

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Rosenbaum, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1063401560
  NPD (past) Authorized official
• Tula Theodosiou, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1033108543
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1689848921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 91ST ST",
            "address_2": "#1W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721752",
            "telephone_number": "718-899-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 91ST ST",
            "address_2": "#1W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721752",
            "telephone_number": "718-899-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODOSIOU & ROSENBAUM GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-899-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lieu Knipping Thai
• Prasad Varghese Thaivalappil
• Gabrielle J Thaler, LMSW
• Parbati Thapa
• The Trump Pharmacy Inc. (Colombia Pharmacy)
• Tula Theodosiou, DDS
• Therapeutic Clinic (Self-employment)
• Think Speech PLLC
• Thomas Izquierdo Physician P.C.
• Johnny Thomas, DO

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.