Organization Active NPI

Mark H Rosenberg

Doing business as Bluff Creek Family Dental

  • Dental Clinic/Center
  • Martinsville, IN
National Provider Identifier
1972922151
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARK H ROSENBERG
Doing business as
Bluff Creek Family Dental
Practice address
9351 State Road 144
Martinsville, IN 46151-5848
Phone
(317) 422-4944
Fax
(317) 422-4945
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Mark H Rosenberg
Title
Owner
Phone
(317) 422-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9351 State Road 144
Martinsville, IN 46151-5848

Mailing address

9351 State Road 144
Martinsville, IN 46151-5848
Phone (317) 422-4944

Other names 1

  • Bluff Creek Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1972922151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 STATE ROAD 144",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515848",
            "telephone_number": "317-422-4944",
            "fax_number": "317-422-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 STATE ROAD 144",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515848",
            "telephone_number": "317-422-4944",
            "fax_number": "317-422-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H ROSENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-422-4944",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluff Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.