Bryan K Roos, DMD, MSD, MS, PS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9534 Issued in WA

Practice address

16150 NE 85TH St Ste 124
Redmond, WA 98052-3544

Phone

(425) 885-1642

Fax

(425) 869-8317

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1316063969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 124",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523544",
            "telephone_number": "425-885-1642",
            "fax_number": "425-869-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 124",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523544",
            "telephone_number": "425-885-1642",
            "fax_number": "425-869-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOS",
        "first_name": "BRYAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD, MS, PS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "9534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach Rollins, LMT
• Felicia Cranford Roman
• Kyleen Romero
• Ronald H. Ellingsen, PLLC
• Ronald O Powell PHD PLLC
• John W. Roper, M.D.
• Aliana Rosa Velazquez, ND, LAC
• Charlette Rose, L.M.P. L.AC
• Roselind Nam PLLC
• Jennifer A Ross, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.