Individual provider Active NPI

Louis Elliott Rossman, DMD FACD

  • Endodontics
  • Philadelphia, PA
National Provider Identifier
1306985692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS019051L Issued in PA
Practice address
1601 Walnut Street
Suite 1114
Philadelphia, PA 19102
Phone
(215) 563-5181
Fax
(215) 563-3467
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS019051L PA Primary

Addresses

Primary practice location

1601 Walnut Street
Suite 1114
Philadelphia, PA 19102

Mailing address

1601 Walnut Street
Suite 1114
Philadelphia, PA 19102
Phone (215) 563-5181

Other identifiers 1

IdentifierTypeStateIssuer
159068OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150225000802 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173849759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: louis.rossman.p1@direct.projecthome.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306985692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT STREET",
            "address_2": "SUITE 1114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-563-5181",
            "fax_number": "215-563-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT STREET",
            "address_2": "SUITE 1114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-563-5181",
            "fax_number": "215-563-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "LOUIS",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DMD FACD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS019051L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "159068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.