R. Douglas Ross, DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401007069 Issued in VA

Legal business name

R. DOUGLAS ROSS, DDS PC

Practice address

1602 Grandin Rd SW
Roanoke, VA 24015-2308

Phone

(540) 344-9361

Fax

(540) 344-9377

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert Douglas Ross, DDSNPI 1922141811

Title

Owner

Phone

(540) 344-9361

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Douglas Ross, DDS

  • Dentist
  • Roanoke, VA
  • NPI 1922141811
  NPD (past) Authorized official
• Thomas Blaine Gallaher, D.D.S

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1699008797
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1124514203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152308",
            "telephone_number": "540-344-9361",
            "fax_number": "540-344-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152308",
            "telephone_number": "540-344-9361",
            "fax_number": "540-344-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. DOUGLAS ROSS, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-344-9361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401007069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922141811",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Quinn, WHCNP
• Stephen R Quinn, D.D.S.
• Mercedes E Quinones, MSN, RNC-MN, IBCLC
• Auraliz Caridad Quintana
• R & D Services of VA., Inc
• Adam Henry Rabinowitz, RN, MS, ACNP
• Donald John Race, MD
• Nora Rader, MD
• Tammy M Radford, P.A.-C
• Iram Rafique, M.D.

• Dental Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.