Active NPI
Daniel Lewis Roth, M.D
- Hospitalist Physician
- Salem, OR
National Provider Identifier
1851407860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OR MD 17900
- Practice address
- 665 Winter St SE
Salem, OR 97301-3919 - Phone
- (503) 561-5356
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OR MD 17900 | OR | Primary |
Addresses
Primary practice location
665 Winter St SE
Salem, OR 97301-3919
Mailing address
7897 Lavender LN SE
Turner, OR 97392-9361
Phone (503) 375-6403
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD 17900 | OR | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851407860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7897 LAVENDER LN SE",
"city": "TURNER",
"state": "OR",
"postal_code": "973929361",
"telephone_number": "503-375-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 WINTER ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013919",
"telephone_number": "503-561-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "DANIEL",
"middle_name": "LEWIS",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "OR MD 17900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
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.