Individual provider Active NPI

Marc Rojtman, D.D.S.

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1972616381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47315 Issued in CA
Practice address
301 W Huntington Dr Ste 517
Arcadia, CA 91007-1511
Phone
(626) 445-3550
Fax
(626) 445-0214
NPI assigned
Aug 17, 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 47315 CA Primary

Addresses

Primary practice location

301 W Huntington Dr Ste 517
Arcadia, CA 91007-1511

Mailing address

301 W Huntington Dr Ste 517
Arcadia, CA 91007-1511
Phone (626) 445-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008681 CA Order and Referring Only - DentistPractitioner - Dentist 1850605718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Rojtman D.D.S. Inc General Practice Current Accepting new patients
Michael Thai, DDS, Apc General Practice Past Accepting new patients

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972616381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 517",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071511",
            "telephone_number": "626-445-3550",
            "fax_number": "626-445-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 517",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071511",
            "telephone_number": "626-445-3550",
            "fax_number": "626-445-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJTMAN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.