Jessie R Rose, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37733 Issued in CA

Practice address

9624 Elk Grove Florin Rd
Suite 2
Elk Grove, CA 95624-2226

Phone

(916) 714-9125

Fax

(916) 714-9128

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jessie R Rose Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1073726220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 ELK GROVE FLORIN RD",
            "address_2": "SUITE 2",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242226",
            "telephone_number": "916-714-9125",
            "fax_number": "916-714-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 ELK GROVE FLORIN RD",
            "address_2": "SUITE 2",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242226",
            "telephone_number": "916-714-9125",
            "fax_number": "916-714-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JESSIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "ROSE",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sophianna Ros
• Lesli Rosales
• Linsey Diane Rosales
• Angeline Camille Rosanes
• Jaycen Rosario
• Marlowe Rose
• Ally Rosegrant
• Gregory R. Rosellini, M.D.
• Therese E Rosellini, DO
• Serentena Rositani

• General Practice Dentistry in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.