Lori Wulf Roseman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15090 Issued in MO

Practice address

1185 Cave Springs Estate Drive
Saint Peters, MO 63376-6529

Phone

(636) 757-1800

Fax

(636) 757-1811

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lori Annette Wulf Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Family Dental Services LTD

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1477625184
  NPD (past)
• PLD of St. Charles, P.C.

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1841009438
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114075751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766529",
            "telephone_number": "636-757-1800",
            "fax_number": "636-757-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CAVE SPRINGS ESTATE DRIVE",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766529",
            "telephone_number": "636-757-1800",
            "fax_number": "636-757-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "LORI",
        "middle_name": "WULF",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WULF",
            "middle_name": "ANNETTE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Rojano, RD
• John Edward Romeo, FNP-BC
• Delaina C Root, OT
• Hannah Noelle Roscow
• Douglas G Rose, OD
• Linda Sue Rosemann, RPH
• Anna Roshal, MD
• Dennis D Roth, PT, DPT
• Richard Charles Rothweiler, RN
• Mark Steven Routburg, MD

• General Practice Dentistry in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Dentistry in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.