Aysha Marie Rossman-Mallow, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020.014564

Practice address

1254 N Wells St
Chicago, IL 60610-1981

Phone

(312) 337-3300

NPI assigned

Oct 16, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Brighter Dental

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1639099476
  NPD (past)
• Brighter Dental of Old Town

  • Dentist
  • Chicago, IL
  • NPI 1164829032
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1174034201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 N TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187814",
            "telephone_number": "773-951-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101981",
            "telephone_number": "312-337-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN-MALLOW",
        "first_name": "AYSHA",
        "middle_name": "MARIE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": "020.014564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mary Rossi, PHARMD
• Marcus Scott Rossi
• Marvin A Rossi, MD PHD
• Virginia Rossi, L.C.P.C.
• Walter A Rossi, MD
• H Kinton Rossman, PHD
• Jenna Elizabeth Rossoff, MD
• Ashley Rossol
• Raiford Patrick Rosson III, APN
• Lee Rost, MD

• Dental Hygienist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.