Roosevelt Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

050586 Issued in NY

Legal business name

ROOSEVELT ORTHODONTICS

Practice address

4003 National St
Corona, NY 11368-2320

Phone

(718) 458-9000

NPI assigned

Sep 9, 2012

Last updated

Sep 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kalimian, DDS

Title

Owner

Phone

(718) 458-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347148800000",
    "number": "1912256678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 NATIONAL ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682320",
            "telephone_number": "718-458-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 NATIONAL ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682320",
            "telephone_number": "718-458-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-09-09",
        "status": "A",
        "authorized_official_last_name": "KALIMIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-458-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Roman
• Marie Rondeau
• Roosevelt 26 Dental Group PLLC
• Roosevelt 26 Dentistry P.C.
• Roosevelt Dental Care III P.C.
• Stephanie Ann Klajbor Rossetti, MS, CCC-SLP
• Alissa Susan Roy, PHARM.D.
• Karla Rubio
• Tshering Y Ruit, LPN
• Erin Ryall

• Orthodontics and Dentofacial Orthopedics Dentistry in Corona, NY
• Providers in Corona, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; 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.