Peter a Rossen DDS

Primary specialty

DentistTaxonomy code 122300000X

License

FL 8066 Issued in FL

Legal business name

PETER A ROSSEN DDS

Doing business as

Coconut Creek Dental Center

Practice address

4825 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944

Phone

(954) 975-0123

Fax

(954) 975-0123

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Rossen, DDSNPI 1003224643

Title

Owner

Phone

(954) 975-0123

Specialties & licenses 1

Addresses

Other names 1

• Coconut Creek Dental Center Doing business as

Locations

Practitioners 1

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

• Peter A. Rossen, DDS

  • Dentist
  • Coconut Creek, FL
  • NPI 1003224643
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215078597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 COCONUT CREEK PKWY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633944",
            "telephone_number": "954-975-0123",
            "fax_number": "954-975-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 COCONUT CREEK PKWY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633944",
            "telephone_number": "954-975-0123",
            "fax_number": "954-975-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A ROSSEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-975-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL 8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coconut Creek Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Gabriela Perez Gomes, BCBA
• Leonides Perez
• Victoria Perez
• Jennifer J Perkins, FNP-BC
• Alejandra Perry
• James Petit
• John Derrick Pettit
• Norman Henry Pevsner, M.D.
• Pharmacy Medical Services Inc (Pharmacy Medical Services Inc #2)
• George Cole Philhower III

• Dentist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Dentist in Florida

• 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.