Roshan R Jardosh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15036 Issued in MD

Practice address

1147 University Blvd E
Takoma Park, MD 20912-7444

Phone

(865) 406-7393

NPI assigned

May 21, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jardosh DDS Dental Professional Corp

  • Dental Clinic/Center
  • El Monte, CA
  • NPI 1417849720
  NPD Authorized official
• Jardosh Dental Group Inc.

  • Dental Clinic/Center
  • La Puente, CA
  • NPI 1891362562
  NPD Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1295095677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 UNIVERSITY BLVD E",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127444",
            "telephone_number": "865-406-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 UNIVERSITY BLVD E",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127444",
            "telephone_number": "865-406-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDOSH",
        "first_name": "ROSHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varun Jain, DDS
• Orly Jalowski, MS
• Augustine Jam, HHA
• James E Callan MD PA
• Jamie Wick L.Ac.
• Beth Ekenma Jawara, NP
• Jessica Jenkins, LMSW
• Kristin Jennings
• Hyun J Jin, PA
• JMD Counseling and Therapeutic Services, LLC

• General Practice Dentistry in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.