David Ian Rosen, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN18658 Issued in FL

Practice address

4700 SW Archer Road
Apt S 129
Gainesville, FL 32608

Phone

(352) 682-5480

NPI assigned

Jul 8, 2009

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

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.

• Dradak Enterprises PLLC

  • Pediatric Dentistry
  • Brandon, FL
  • NPI 1942092713
  NPD

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1093944274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SW ARCHER RD",
            "address_2": "APT S-129",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083883",
            "telephone_number": "352-682-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SW ARCHER ROAD",
            "address_2": "APT S 129",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-682-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DAVID",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanna Rutledge, LMHC
• Morgan Andrea Rosegger, PA-C
• Robert Lewis Roseman, M.D.
• Abbie Rosen, PHARMD
• Chelsea Drew Rosen, MD
• Sara Brooke Rosen, PA
• John C Rosenbek, PHD
• Rosenberg Plastic Surgery, LLC
• Amy F Rosenberg, PHARMD
• Eric I Rosenberg, MD

• Pediatric Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.