Active NPI
Frank R Rose I, DDS
- General Practice Dentistry
- Beaumont, TX
National Provider Identifier
1285779777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12323
- Practice address
- 16935 Highway 124
Beaumont, TX 77705-9639 - Phone
- (409) 794-1487
- Fax
- (409) 794-1491
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12323 | TX | Primary |
Addresses
Primary practice location
16935 Highway 124
Beaumont, TX 77705-9639
Mailing address
16935 Highway 124
Beaumont, TX 77705-9639
Phone (409) 794-1487
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12323 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285779777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16935 HIGHWAY 124",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777059639",
"telephone_number": "409-794-1487",
"fax_number": "409-794-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16935 HIGHWAY 124",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777059639",
"telephone_number": "409-794-1487",
"fax_number": "409-794-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "FRANK",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "D12323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.