Jack D Rosenberg, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN17726 Issued in FL

Practice address

951 Broken Sound Pkwy
185
Boca Raton, FL 33487-3507

Phone

(561) 999-9650

Fax

(561) 998-8340

NPI assigned

Jan 8, 2008

Last updated

Jan 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Dental Care of Palm Beach Gardens

  • Dental Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1548821275
  NPD (past) Authorized official
• Dental Team of West Palm Beach

  • Dentist
  • Boca Raton, FL
  • NPI 1942512868
  NPD (past)
• Gentle Dental Group of Tamarac

  • Dentist
  • Boca Raton, FL
  • NPI 1053746172
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1780869891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY",
            "address_2": "185",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873507",
            "telephone_number": "561-999-9650",
            "fax_number": "561-998-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY",
            "address_2": "185",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873507",
            "telephone_number": "561-999-9650",
            "fax_number": "561-998-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Rosen, D.C.
• Zoe Rosen
• Murray Rosenbaum, M.D.
• Shari B Rosenbaum, MD
• Elyssa K Rosenberg, PAC
• Jamie A Rosenberg
• Karyn Rosenberg, LCSW
• Keri Elise Rosenberg
• Marc Rosenberg, DO
• Mark Rosenberg, MD

• Dentist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.