Active NPI
Patricia A Rosman, DDS
- General Practice Dentistry
- Odessa, WA
National Provider Identifier
1285824631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5874
- Practice address
- 20 W First Ave
Odessa, WA 99159-0429 - Phone
- (509) 982-2605
- Fax
- (509) 982-9951
- NPI assigned
- Jul 31, 2007
- Last updated
- Jul 31, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5874 | WA | Primary |
Addresses
Primary practice location
20 W First Ave
Odessa, WA 99159-0429
Mailing address
PO Box 429
Odessa, WA 99159-0429
Phone (509) 982-2605
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 |
|---|---|---|---|
| 5874 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregg Liedtka DMD PLLC | Past | Accepting new patients | |
| Condon Dental Services | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Odessa Dental Clinic
- General Practice Dentistry
- Odessa, WA
- NPI 1871548925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1285824631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "ODESSA",
"state": "WA",
"postal_code": "991590429",
"telephone_number": "509-982-2605",
"fax_number": "509-982-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W FIRST AVE",
"city": "ODESSA",
"state": "WA",
"postal_code": "991590429",
"telephone_number": "509-982-2605",
"fax_number": "509-982-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSMAN",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.