Individual provider Active NPI

Joshua Preston Rorem, D.D.S.

  • Pediatric Dentistry
  • La Palma, CA
National Provider Identifier
1700912912
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
19961 Issued in CA
Practice address
5486 La Palma Ave
La Palma, CA 90623-1705
Phone
(714) 821-7950
Fax
(714) 821-4355
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 19961 CA Primary

Addresses

Primary practice location

5486 La Palma Ave
La Palma, CA 90623-1705

Mailing address

5486 La Palma Ave
La Palma, CA 90623-1705
Phone (714) 821-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001258 CA Order and Referring Only - DentistPractitioner - Dentist 1254638356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19961CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700912912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5486 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231705",
            "telephone_number": "714-821-7950",
            "fax_number": "714-821-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231705",
            "telephone_number": "714-821-7950",
            "fax_number": "714-821-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROREM",
        "first_name": "JOSHUA",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "19961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.