Individual provider Active NPI

Martin I Rotman, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1972519668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27364 Issued in CA
Practice address
9911 W Pico Blvd
Suite 1500
Los Angeles, CA 90035-2703
Phone
(310) 843-0909
Fax
(310) 551-1322
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27364 CA Primary

Addresses

Primary practice location

9911 W Pico Blvd
Suite 1500
Los Angeles, CA 90035-2703

Mailing address

10321 Rochester Ave
Los Angeles, CA 90024-5353
Phone (310) 551-0722

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

LicenseStateTypeSpecialty
27364CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harold L. McQuinn, DDS Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972519668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 ROCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245353",
            "telephone_number": "310-551-0722",
            "fax_number": "310-551-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD",
            "address_2": "SUITE 1500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352703",
            "telephone_number": "310-843-0909",
            "fax_number": "310-551-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTMAN",
        "first_name": "MARTIN",
        "middle_name": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.