Benjamin D Rosenberg DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4498 Issued in KS

Legal business name

BENJAMIN D ROSENBERG DDS INC

Practice address

924 N Broadway St
B
Pittsburg, KS 66762-3910

Phone

(620) 231-1972

NPI assigned

Aug 19, 2016

Organization subpart

No

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

Authorized official

Name

Shelli Crane

Title

Office Manager

Phone

(417) 781-2220

Specialties & licenses 1

Addresses

Tax ID family

Benjamin D Rosenberg DDS Inc2 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.

• Benjamin D Rosenberg DDS Inc

  • Pediatric Dentistry
  • Joplin, MO
  • NPI 1871984609
  NPD tax ID

Locations

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1922553940",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N BROADWAY ST",
            "address_2": "B",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623910",
            "telephone_number": "620-231-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN D ROSENBERG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-781-2220"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Beckwith, RPH
• Jade Behring
• Susan Lynn Beitzinger, LMSW
• Madison Abigail Belew, DO
• Lisa Bell, RDH
• William Mathew Bennetts, DC
• Gayle Best
• Ladee Bicknese
• Jennifer Bin, APRN
• Brock A Boekhout, PHD

• Pediatric Dentistry in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.