NPIMap

Organization Active NPI

Joe Rosenberg D.D.S., P.a.

  • General Practice Dentistry
  • St John, KS
National Provider Identifier
1912099706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6063 Issued in KS
Legal business name
JOE ROSENBERG D.D.S., P.A.
Practice address
307 E 3Rd Ave
Saint John, KS 67576-2014
Phone
(620) 549-3323
Fax
(620) 549-3914
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joe Orley Rosenberg, DDS
Title
President
Phone
(620) 549-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6063 KS Primary

Addresses

Primary practice location

307 E 3Rd Ave
Saint John, KS 67576-2014

Mailing address

307 E 3Rd Ave
Saint John, KS 67576-2014
Phone (620) 549-3323

National Provider Directory

National Provider Directory
Tax ID family
Rosenberg Dentistry Joe Rosenberg DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

307 E 3rd Ave
Saint John, KS 67576
Phone (620) 549-3323

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912099706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 3RD AVE",
            "city": "SAINT JOHN",
            "state": "KS",
            "postal_code": "675762014",
            "telephone_number": "620-549-3323",
            "fax_number": "620-549-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 3RD AVE",
            "city": "SAINT JOHN",
            "state": "KS",
            "postal_code": "675762014",
            "telephone_number": "620-549-3323",
            "fax_number": "620-549-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE ROSENBERG D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ORLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-549-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St John, KS

Sources for this page

  • 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.