Active NPI
Morton K Rosenberg, D.D.S.
- Dentist
- Waikoloa, HI
National Provider Identifier
1962683821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33840
- Practice address
- 69-555 Waikoloa Beach Dr Apt 1502
Waikoloa, HI 96738-6701 - Phone
- (916) 716-6858
- NPI assigned
- Nov 20, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 33840 | CA | Primary |
Addresses
Primary practice location
69-555 Waikoloa Beach Dr Apt 1502
Waikoloa, HI 96738-6701
Mailing address
69-555 Waikoloa Beach Dr Apt 1502
Waikoloa, HI 96738-6701
Phone (916) 716-6858
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33840 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1962683821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69-555 WAIKOLOA BEACH DR APT 1502",
"city": "WAIKOLOA",
"state": "HI",
"postal_code": "967386701",
"telephone_number": "916-716-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69-555 WAIKOLOA BEACH DR APT 1502",
"city": "WAIKOLOA",
"state": "HI",
"postal_code": "967386701",
"telephone_number": "916-716-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "MORTON",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "33840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waikoloa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.