Active NPI
Lauren Suzanne Rosella, DDS
- Dentist
- Geneseo, NY
National Provider Identifier
1235227497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051367
- Practice address
- 3 Park Street
Doty Dental
Geneseo, NY 14454 - Phone
- (585) 243-6569
- NPI assigned
- Oct 11, 2006
- Last updated
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 051367 | NY | Primary |
Addresses
Primary practice location
3 Park Street
Doty Dental
Geneseo, NY 14454
Mailing address
3 Park Street
Doty Dental
Geneseo, NY 14454
Phone (585) 243-6569
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135759 | Other | NY | GUARDIAN |
| 917848 | Other | NY | DORAL |
| 4012996 | Other | NY | INDEPENDENT HEALTH |
| 01034940 | Medicaid | NY | |
| 000408997001 | Other | NY | BC/BS |
Other names 1
- Ms. Lauren Suzanne Watterson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1235227497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PARK STREET",
"address_2": "DOTY DENTAL",
"city": "GENESEO",
"state": "NY",
"postal_code": "14454",
"telephone_number": "585-243-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PARK STREET",
"address_2": "DOTY DENTAL",
"city": "GENESEO",
"state": "NY",
"postal_code": "14454",
"telephone_number": "585-243-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSELLA",
"first_name": "LAUREN",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "135759",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "917848",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "4012996",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01034940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000408997001",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "WATTERSON",
"middle_name": "SUZANNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Geneseo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.