Andrew Michael Ross, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12014464A Issued in IN

Practice address

12962 Coldwater Rd
Fort Wayne, IN 46845-9517

Phone

(260) 637-4648

NPI assigned

Jun 10, 2024

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.

• Bertsch Family Dentistry LLC

  • Dental Clinic/Center
  • Fort Wayne, IN
  • NPI 1639892540
  NPD
• Salkeld Family Dental, LLC

  • Dentist
  • Fort Wayne, IN
  • NPI 1891120382
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1063254282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 WOODSTREAM DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047007",
            "telephone_number": "765-464-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12962 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459517",
            "telephone_number": "260-637-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014464A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Rosenquist
• Takeyah Rosenthall, FNP
• Brian M. Rosman, M.D.
• Megan C Ross-Espinosa
• Ali Cassandra Ross, NP-C
• Conor Ross, MSW, LSW
• Jean D. Ross, NP
• Jessica Ross, M.A, BCBA
• Jessica Lynn Ross, FNP-C
• Maisie Ross

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.