Rose Cantu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24139 Issued in TX

Practice address

121 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3028

Phone

(832) 404-2808

Fax

(832) 409-0201

NPI assigned

Sep 8, 2008

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Elite Smile Center of the Woodlands, PLLC

  • General Practice Dentistry
  • Shenandoah, TX
  • NPI 1194604066
  NPD Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1306094917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843028",
            "telephone_number": "832-404-2808",
            "fax_number": "832-409-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843028",
            "telephone_number": "832-404-2808",
            "fax_number": "832-409-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise Cameron
• James Camp, NP
• Jill G Campbell
• Candid Therapy & Associates
• Marie Cannon, OTD, OTR/L
• Michelle Cao
• Cardiac Cath Lab of Conroe, LP
• Carlos Perez-Cosio MD PA
• Lauren Carlson
• Lauren Carson, OTR/L

• General Practice Dentistry in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.