Eric Joel Ross, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 12396 Issued in FL

Practice address

526 NW 1St Ave
Crystal River, FL 34428-4002

Phone

(352) 795-3939

Fax

(352) 795-9223

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Assurance Dental Group, PL. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1275643330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NW 1ST AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34428",
            "telephone_number": "352-795-3939",
            "fax_number": "352-795-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NW 1ST AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344284002",
            "telephone_number": "352-795-3939",
            "fax_number": "352-795-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ERIC",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 12396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASSURANCE DENTAL",
            "last_name": "PL.",
            "middle_name": "GROUP,",
            "prefix": "PROF.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert S Wane DPM PA
• Gary P Robertson, O.T.R.
• Jodi Mancini Rodriguez, LCSW
• Rolf Lyon Urgent Care LLC
• James Michael Rooney
• Joseph John Ross, M.D.,F.A.C.S.
• Roy a Horn DC PA
• Jacqueline Runnels
• Joanne Rush, ARNP
• Leslie Danielle Rushing, RDH

• Dentist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.