Organization Active NPI

Jeffrey Rosenberg

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1700204112
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS022998L Issued in PA
Legal business name
JEFFREY ROSENBERG
Doing business as
Dental Healthcare Group
Practice address
413 Bainbridge St
Philadelphia, PA 19147-1537
Phone
(215) 592-4747
Fax
(215) 592-8230
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mrs. Michelle Santiago
Title
Office Manager
Phone
(215) 592-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS022998L PA Primary

Addresses

Primary practice location

413 Bainbridge St
Philadelphia, PA 19147-1537

Mailing address

413 Bainbridge St
Philadelphia, PA 19147-1537
Phone (215) 592-4747

Other names 1

  • Dental Healthcare Group Doing business as

National Provider Directory

National Provider Directory

Locations

413 Bainbridge St
Philadelphia, PA 19147
Phone (215) 592-4747

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1700204112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471537",
            "telephone_number": "215-592-4747",
            "fax_number": "215-592-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471537",
            "telephone_number": "215-592-4747",
            "fax_number": "215-592-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY ROSENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-592-4747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022998L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.