Brian J Ross, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34002 Issued in TX

Practice address

893 N Interstate 35 Ste 200
Round Rock, TX 78664-4311

Phone

(512) 310-9374

NPI assigned

Jun 8, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1528359791
  NPD
• Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1679646509
  NPD
• RDG Angus Road, PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1902524861
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1164915740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MICHAEL NEILL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301432",
            "telephone_number": "210-816-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 N INTERSTATE 35 STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644311",
            "telephone_number": "512-310-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4810 Gattis School Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786342037",
            "country_code": "US",
            "telephone_number": "512-337-8224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11615 Angus Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594006",
            "country_code": "US",
            "telephone_number": "512-795-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "34002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen R. Rosales, M.D.
• Aldria Rose, RBT
• Karimah Rose, LMFT-S, LPC-S
• Stephen D Rose, M.D.
• Jana Wrobleski Roso, RN, MSN, CPNP
• Samantha Ross
• Anna Rossbach, MS, CF-SLP
• Alicia M Rossow, M.A., CCC-SLP
• Round Rock Acupuncture
• Round Rock Acupuncture Clinic

• Dentist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.