Individual provider Active NPI

Herbert Rosenberg, D.D.S.

  • General Practice Dentistry
  • Owings Mills, MD
National Provider Identifier
1780653881
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4363 Issued in MD
Practice address
90 Painters Mill Rd
Suite 130
Owings Mills, MD 21117-3630
Phone
(410) 363-7374
Fax
(410) 363-8830
NPI assigned
Mar 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 4363 MD Primary

Addresses

Primary practice location

90 Painters Mill Rd
Suite 130
Owings Mills, MD 21117-3630

Mailing address

90 Painters Mill Rd
Suite 130
Owings Mills, MD 21117-3630
Phone (410) 363-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4363MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiledmd of Maryland, LLC General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780653881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD",
            "address_2": "SUITE 130",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173630",
            "telephone_number": "410-363-7374",
            "fax_number": "410-363-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD",
            "address_2": "SUITE 130",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173630",
            "telephone_number": "410-363-7374",
            "fax_number": "410-363-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "4363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.