Timothy J Rosin DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1517 G Issued in WI

Legal business name

TIMOTHY J ROSIN DDS SC

Practice address

2570 New Pinery Rd
Portage, WI 53901

Phone

(608) 742-5573

Fax

(608) 742-3466

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Rosin, DDSNPI 1316240153

Title

Owner

Phone

(608) 742-5573

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Joseph Rosin, D.D.S.

  • General Practice Dentistry
  • Portage, WI
  • NPI 1316240153
  NPD (past) Authorized official
• Soumen Chatterjee, DDS

  • General Practice Dentistry
  • Portage, WI
  • NPI 1568973030
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720149156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "53901",
            "telephone_number": "608-742-5573",
            "fax_number": "608-742-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "53901",
            "telephone_number": "608-742-5573",
            "fax_number": "608-742-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J ROSIN DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-742-5573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1517 G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Columbia County
• Terra Thimm
• Thomas a Christianson
• Jessica Madonna Thompson, DPT
• Tara Ann Tibbe, OTR
• Theresa Tonn
• Melissa Trago
• Transitions Behavioral Health, LLC
• University of Wisconsin Medical Foundation Inc
• Mario RL Valenzuela, MD

• General Practice Dentistry in Portage, WI
• Providers in Portage, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.