Active NPI
Benjamin D Rosenberg DDS Inc
- Pediatric Dentistry
- Joplin, MO
National Provider Identifier
1871984609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10670
- Legal business name
- BENJAMIN D ROSENBERG DDS INC
- Practice address
- 2602 S Picher Ave
Joplin, MO 64804-1641 - Phone
- (417) 781-2220
- Fax
- (417) 781-1308
- NPI assigned
- Feb 16, 2015
- Last updated
- Feb 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shelli G Crane
- Title
- Office Manager
- Phone
- (417) 781-2220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 10670 | MO | Primary |
Addresses
Primary practice location
2602 S Picher Ave
Joplin, MO 64804-1641
Mailing address
PO Box 2788
Joplin, MO 64803-2788
Phone (417) 781-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932186905 | Other | INDDIVIDUAL NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Benjamin D Rosenberg DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Pittsburg, KS
- NPI 1922553940
Locations
2602 S Picher Ave
Joplin, MO 64804
Phone (417) 781-2220
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Joplin, MO
- NPI 1598399602
-
- Pediatric Dentistry
- Webb City, MO
- NPI 1609268861
-
- Pediatric Dentistry
- Joplin, MO
- NPI 1932186905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424044800000",
"number": "1871984609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2788",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032788",
"telephone_number": "417-781-2220",
"fax_number": "417-781-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 S PICHER AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041641",
"telephone_number": "417-781-2220",
"fax_number": "417-781-1308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN D ROSENBERG DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A",
"authorized_official_last_name": "CRANE",
"authorized_official_first_name": "SHELLI",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "417-781-2220",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MO",
"license": "10670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDDIVIDUAL NPI",
"identifier": "1932186905",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.