Individual provider Active NPI

Nan Mae Rosas, DDS

  • General Practice Dentistry
  • Pearland, TX
National Provider Identifier
1003301730
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34176 Issued in TX
Practice address
2811 Business Center Dr Ste 105
Pearland, TX 77584-4161
Phone
(713) 340-1418
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34176 TX Primary

Addresses

Primary practice location

2811 Business Center Dr Ste 105
Pearland, TX 77584-4161

Mailing address

2811 Business Center Dr Ste 105
Pearland, TX 77584-4161
Phone (713) 340-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20181220000506 TX Order and Referring Only - DentistPractitioner - Dentist 2264777291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34176TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rosas Family Dentistry General Practice Current Accepting new patients
Pearland Modern Dentistry, PC General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1003301730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 BUSINESS CENTER DR STE 105",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844161",
            "telephone_number": "713-340-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 BUSINESS CENTER DR STE 105",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844161",
            "telephone_number": "713-340-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "NAN",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.