Bethany Ann Whitaker Ross

Primary specialty

DentistTaxonomy code 122300000X

License

2901600245 Issued in MI

Practice address

43368 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5051

Phone

(817) 781-1524

NPI assigned

Jul 2, 2019

Sex

Female

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

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1013579770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 JOHN R RD APT 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832569",
            "telephone_number": "817-781-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43368 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025051",
            "telephone_number": "817-781-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33533 W 12 Mile Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483315600",
            "country_code": "US",
            "telephone_number": "817-781-1524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BETHANY",
        "middle_name": "ANN WHITAKER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Romain, LMSW
• Ronald C Fontanesi DDS PC
• Ronda Barak Norris MD PC
• Toba Rosen, LLMFT
• Ronald William Rosenberg, MD
• Robert D Rousseau, DDS
• Roy D McAnnelly DMD PC
• Sheba S. Roy, ND
• Sherrie Rubin, PHARMACIST
• Ivori Rucker

• Dentist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.