Individual provider Active NPI

Rosemary Jean Lindemann, DDS

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1205333150
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416369 Issued in VA
Practice address
321 Tazewell Ave SE
Roanoke, VA 24013-1445
Phone
(540) 362-0360
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AL
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401416369 VA Primary

Addresses

Primary practice location

321 Tazewell Ave SE
Roanoke, VA 24013-1445

Mailing address

5635 Jonamac PL Apt 2a
Roanoke, VA 24019-6124
Phone (703) 209-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20191023001452 VA Order and Referring Only - DentistPractitioner - Dentist 8224360383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1205333150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 JONAMAC PL APT 2A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196124",
            "telephone_number": "703-209-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 TAZEWELL AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240131445",
            "telephone_number": "540-362-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMANN",
        "first_name": "ROSEMARY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.