Lance A Rose, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30026123 Issued in OH

Practice address

103 S Church St
New Carlisle, OH 45344-1903

Phone

(937) 845-0038

NPI assigned

May 19, 2020

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

Locations

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.

• M. Alexandrunas, D. Hudoba Dental 1 Inc

  • General Practice Dentistry
  • New Carlisle, OH
  • NPI 1740897289
  NPD
• Dental Smile Professionals Dayton Ohio LLC

  • Dental Clinic/Center
  • Dayton, OH
  • NPI 1336607332
  NPD (past)
• Scott B Phillippi DDS LLC

  • Dental Clinic/Center
  • Huber Heights, OH
  • NPI 1649666355
  NPD (past)

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1003439563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S CHURCH ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S CHURCH ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441903",
            "telephone_number": "937-845-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LANCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30026123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Riesinger
• Stacy L. Riley
• Rite Aid of Ohio Inc
• Rite Aid of Ohio Inc
• Lisa Marie Robinson, OT/L
• Violet L Royster
• Justin Adam Saunders, PHARM D
• Theresa Schmitt, OT/L
• Julie L Schwartz
• Leanna Mae Sexton, DOULA

• Dentist in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; 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.