Charles J Roth, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL 28481 Issued in CA

Practice address

412 Cernon St Ste C
Vacaville, CA 95688-4549

Phone

(707) 448-5339

Fax

(707) 447-0956

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Charles J Roth DDS Inc

  • Dental Clinic/Center
  • Vacaville, CA
  • NPI 1184816589
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982627410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CERNON ST STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884549",
            "telephone_number": "707-448-5339",
            "fax_number": "707-447-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CERNON ST STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884549",
            "telephone_number": "707-448-5339",
            "fax_number": "707-447-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DL 28481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Whincy Rosario, NP
• Keith Rose
• Shauna Rose, LCSW
• Lakesha Ross
• Susan J. Rosten, NP
• Lawrence E Roth, DDS, MSD
• Kathleen Marie Rowland, MD
• Alex Rowley
• Hazelann B Roxas, MD
• Michelle Roy-Davila

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, CA by specialty
• General Practice Dentistry in California

• 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.