DRS. Martin & Rose

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DRS. MARTIN & ROSE

Practice address

316 E Lincoln Ave
Watseka, IL 60970-1726

Phone

(815) 432-4924

Fax

(815) 432-5291

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John D. Martin, D.D.S.

Title

President

Phone

(815) 432-4924

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Rose, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Watseka, IL
  • NPI 1942389259
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215071493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LINCOLN AVE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701726",
            "telephone_number": "815-432-4924",
            "fax_number": "815-432-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E LINCOLN AVE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701726",
            "telephone_number": "815-432-4924",
            "fax_number": "815-432-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MARTIN & ROSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-432-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Denault
• Vijay Desai, M.D.
• Hollye Dionne
• Charlotte Fay Douglas, NP
• Randy Gene Dowdell, M.A.
• Dsi Watseka Operator LLC (Heritage Woods of Watseka)
• Rebecca Eimer
• Daniel Ellis
• Donald J. Emerson, LPC
• Jill Erickson

• Orthodontics and Dentofacial Orthopedics Dentistry in Watseka, IL
• Providers in Watseka, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.