Rose Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

39473 Issued in CA

Legal business name

ROSE DENTAL CORPORATION

Practice address

1901 Watt Ave
Ste 1
Sacramento, CA 95825

Phone

(916) 487-2094

Fax

(916) 487-2151

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Campbell Rose, DDSNPI 1275784993

Title

Dentist Owner

Phone

(916) 487-2094

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey Campbell Rose, DDS

  • Dentist
  • Sacramento, CA
  • NPI 1275784993
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1255405403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WATT AVE",
            "address_2": "STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-487-2094",
            "fax_number": "916-487-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WATT AVE",
            "address_2": "STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-487-2094",
            "fax_number": "916-487-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "916-487-2094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Rosas
• Guadalupe Rosas, MA
• Jorge Fernando Rosas, MD
• Kejauna Rosas
• Rosa Maria Rosas
• Taryn Rose-Tejeda
• Alyssa Rose
• Anne E Rose, LMFT
• Benay Rose, CF-SLP
• Carley Michelle Rose, LCSW

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.