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EDWARD ROTHMAN DDS
NPI 1114020302
Dentist - Pediatric Dentistry in Oakland, CA

Active since September 06, 2006PECOS Enrolled
747 FIFTY SECOND STREET, OAKLAND, CA 94609(510) 428-3316(510) 450-5806 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Rothman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD ROTHMAN DDS (NPI 1114020302) is an individual pediatric dentistry provider in Oakland, California, licensed in California (DDSS40188) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114020302
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameEDWARD ROTHMANCredential: DDS
Location Address747 FIFTY SECOND STREETOakland, CA 94609
Mailing Address1515 Fruitvale AveOakland, CA 94601 · (510) 535-4000 · Fax (510) 535-4128
Phone(510) 428-3316
Fax(510) 450-5806
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMarch 7, 2012
✔ NPI 1114020302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · DDSS40188
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

747 FIFTY SECOND STREET, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Rothman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL AARON JOHNSON DDS
Dentist
747 FIFTY SECOND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3316
DR. KEVIN DANIEL WHITELAW MD
Emergency Medicine (Pediatric Emergency Medicine)
747 FIFTY SECOND STREET
OAKLAND, CA 94609
Alameda County (510) 483-3259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Rothman's NPI number?

The NPI number for Edward Rothman is 1114020302. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Edward Rothman located?

Edward Rothman practices at 747 Fifty Second Street, Oakland, CA 94609. The listed phone number is (510) 428-3316.

What is Edward Rothman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Edward Rothman enrolled in Medicare?

Yes. Edward Rothman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Rothman was last updated on March 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.