Individual provider Active NPI

Torrey Rothstein

  • Dentist
  • Half Moon Bay, CA
National Provider Identifier
1720128374
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53860 Issued in CA
Practice address
210 San Mateo Rd Ste 104
Half Moon Bay, CA 94019-7172
Phone
(650) 726-2144
Fax
(650) 726-2726
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53860 CA Primary

Addresses

Primary practice location

210 San Mateo Rd Ste 104
Half Moon Bay, CA 94019-7172

Mailing address

210 San Mateo Rd Ste 104
Half Moon Bay, CA 94019-7172
Phone (650) 726-2144

Other identifiers 1

IdentifierTypeStateIssuer
D53860MedicaidCA

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
I20160322001005 CA Order and Referring Only - DentistPractitioner - Dentist 5294032074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sonrisas Dental Health, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trothstein18999@smch.direct-ci.com

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1720128374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SAN MATEO RD STE 104",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197172",
            "telephone_number": "650-726-2144",
            "fax_number": "650-726-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SAN MATEO RD STE 104",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197172",
            "telephone_number": "650-726-2144",
            "fax_number": "650-726-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "TORREY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D53860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

Verify at the official NPI Registry.