Active NPI
Erik H Roos, DDS
- Pediatric Dentistry
- Chico, CA
National Provider Identifier
1053465591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 45766
- Practice address
- 2775 Esplanade
Chico, CA 95973 - Phone
- (530) 893-4044
- Fax
- (530) 893-4069
- NPI assigned
- Jan 22, 2007
- Last updated
- Jan 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 45766 | CA | Primary |
Addresses
Primary practice location
2775 Esplanade
Chico, CA 95973
Mailing address
2775 Esplanade
Chico, CA 95973
Phone (530) 893-4044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45766 | Other | CA | DENTIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45766 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erik H Roos DDS Inc | Past | Accepting new patients |
Interoperability endpoints
- eroos15414@enloedirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Chico, CA
- NPI 1053650739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1053465591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "95973",
"telephone_number": "530-893-4044",
"fax_number": "530-893-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "95973",
"telephone_number": "530-893-4044",
"fax_number": "530-893-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOS",
"first_name": "ERIK",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "45766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST LICENSE",
"identifier": "45766",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.