Active NPI
Karl A. Rose, DDS
- Periodontics
- Chevy Chase, MD
National Provider Identifier
1093830846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D54127
- Practice address
- 5454 Wisconsin Ave
Suite 620
Chevy Chase, MD 20815-6901 - Phone
- (301) 652-3355
- Fax
- (301) 652-5609
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D54127 | MD | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
Suite 620
Chevy Chase, MD 20815-6901
Mailing address
9427 Fox Hollow Dr
Potomac, MD 20854-2082
Phone (301) 983-2562
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093830846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9427 FOX HOLLOW DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542082",
"telephone_number": "301-983-2562",
"fax_number": "301-652-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 620",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-652-3355",
"fax_number": "301-652-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KARL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "D54127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.