Stephen F Rosenblum, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401004147 Issued in VA

Practice address

6417 Loisdale Rd
Suite 205
Springfield, VA 22150-1825

Phone

(703) 971-3100

Fax

(703) 971-4549

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992725824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 LOISDALE RD",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501825",
            "telephone_number": "703-971-3100",
            "fax_number": "703-971-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 LOISDALE RD",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501825",
            "telephone_number": "703-971-3100",
            "fax_number": "703-971-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ledin Rosibel Romero Benitez, BCBA
• Kimberly Romero
• Kelly J Roper, M.S. CCC-SLP
• Isabel Rosa-Irizarry
• Henry S Rose, MD
• Rosenman-Brendmoen & Associates PLLC
• Lawrence D Rosenman, D.D.S.
• Jonathan H Rosenthal, MD
• Cecilia Duarte Ross, PA-C
• Julie Ross, OTD, OTR/L

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• General Practice Dentistry in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.