Individual provider Active NPI

Anna Rossis, DMD

  • General Practice Dentistry
  • Malvern, PA
National Provider Identifier
1043356975
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036570 Issued in PA
Practice address
183 Lancaster Ave
Malvern, PA 19355-2122
Phone
(978) 830-4610
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036570 PA Primary
Dentist 122300000X 21716 MA

Addresses

Primary practice location

183 Lancaster Ave
Malvern, PA 19355-2122

Mailing address

183 Lancaster Ave
Malvern, PA 19355-2122
Phone (610) 540-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150601001438 PA Order and Referring Only - DentistPractitioner - Dentist 8527389709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036570PAMDGeneral Practice Dentistry
21716MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
QVD LLC Current Accepting new patients
Peak Potential Wellness Ctr Inc Past Accepting new patients
Dental Arts of Great Valley LLC Dentist Past Accepting new patients

Organizations & group practices 3

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1043356975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552122",
            "telephone_number": "610-540-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552122",
            "telephone_number": "978-830-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIS",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036570",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.