Organization Active NPI

Rose Rock Family Dentistry PLLC

  • General Practice Dentistry
  • Stillwater, OK
National Provider Identifier
1235514183
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROSE ROCK FAMILY DENTISTRY PLLC
Practice address
1526 W 8TH Ave
Stillwater, OK 74074-4372
Phone
(405) 377-7323
Fax
(405) 372-1576
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Dr. Sara Bassett, DDSNPI 1184910499
Title
Owner/Manager
Phone
(405) 377-7323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1526 W 8TH Ave
Stillwater, OK 74074-4372

Mailing address

1526 W 8TH Ave
Stillwater, OK 74074-4372
Phone (405) 377-7323

Other identifiers 1

IdentifierTypeStateIssuer
200399260AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1526 W 8th Ave
Stillwater, OK 74074
Phone (405) 377-7323

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1235514183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 W 8TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744372",
            "telephone_number": "405-377-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W 8TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744372",
            "telephone_number": "405-377-7323",
            "fax_number": "405-372-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ROCK FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "405-377-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.