LEON D. ROISMAN, D.M.D., INC. (NPI# 1912046871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912046871 |
| Entity Type | Organization |
| Organization Name | LEON D. ROISMAN, D.M.D., INC. |
| Other Organization Name | DENTAL PLUS - A DENTAL GROUP OF LEON D. ROISMAN, D.M.D., INC. |
| Practice Address |
310 S Lake Ave Lower Level Pasadena CA 91101-3540 |
| Practice Telephone | 6267956855 |
| Practice Fax Number | 6264324260 |
| Mailing Telephone | 6267956855 |
| Mailing Fax Number | 6264324260 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LEON D. ROISMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6264324242 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| X | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | B19960-01 | 01 |
| Other Name | Type Code |
|---|---|
| Dental Plus - A Dental Group of Leon D. Roisman, D.M.D., Inc. | Doing Business As Name - Organization |
| Street Address |
310 S LAKE AVE LOWER LEVEL |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396883237 | Leon D Roisman | Dentist | 310 S Lake Ave, Lower Level, Pasadena, CA 91101-3540 | 2007-02-02 |
| 1487112041 | Andy Hoang | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2019-03-03 |
| 1124509120 | Jessica Tong | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2018-08-27 |
| 1689039265 | Ida Chen | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2015-12-23 |
| 1134503733 | Grace Mao | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2015-07-13 |
| 1871904896 | Raymond Wang | Dentist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2014-05-13 |
| 1497020119 | Rouhani and Khabbaz Dental Corporation | Dentist | 310 S Lake Ave, Lower Level, Pasadena, CA 91101-3537 | 2012-03-13 |
| 1225315807 | Jeff Wong | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-11-09 |
| 1083997704 | Ari Kuyumjian | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-09-20 |
| 1760764419 | Kristy Hennessee | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609117043 | Yoo Kyeom Huh | Dentist | 777 S Marengo Ave Apt 3, Pasadena, CA 91106-4733 | 2013-03-11 |
| 1467763763 | Michelle Anne Hack | Dentist | 8221 Ritchie Hwy, Suite 201, Pasadena, MD 21122-3938 | 2010-07-01 |
| 1326273343 | Irene C. Chang | Dentist | 151 S El Molino Ave Ste 300, Pasadena, CA 91101-2562 | 2009-05-19 |
| 1346443686 | Irene Chang A Professional Dental Corporation | Dentist | 151 S El Molino Ave Ste #300, Pasadena, CA 91101 | 2007-06-06 |
| 1700094208 | J Michael Jann | Dentist | 301 South Fai Oaks Ave, Pasadena, CA 91105 | 2007-05-18 |
| 1497802342 | Younes Safa | Dentist | 960 E Green St Ste 111, Pasadena, CA 91106-2401 | 2007-01-04 |
| 1811076219 | Arnold Takaichi Shibuya | Dentist | 133 S Hudson Ave Ste 1, Pasadena, CA 91101-2614 | 2006-11-04 |
| 1255332391 | Kenneth Mangano | Dentist | 8025 Ritchie Hwy, Suite 204, Pasadena, MD 21122-1031 | 2005-08-10 |
| 1417502592 | Arkady S. Tsibel Dental Corp | Dentist | 181 N Hill Ave, Pasadena, CA 91106-1955 | 2019-08-06 |
| 1861859506 | Ranjivendra Nath Dds Inc | Dentist | 1855 E Colorado Blvd, Pasadena, CA 91107-3554 | 2016-01-26 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.