Rosebud Dental and Wellness

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROSEBUD DENTAL AND WELLNESS

Practice address

610 Taylor Station Rd Ste C
Gahanna, OH 43230-3585

Phone

(614) 428-0822

Fax

(614) 428-0833

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Heather Crockett, DDS, MPHNPI 1124287123

Title

Dentist/ Owner

Phone

(614) 428-0822

Specialties & licenses 1

Addresses

Other names 1

• Rosebud Dental & Wellness Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Marie Crockett, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1124287123
  NPD Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1346051174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 TAYLOR STATION RD STE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303585",
            "telephone_number": "614-428-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TAYLOR STATION RD STE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303585",
            "telephone_number": "614-428-0822",
            "fax_number": "614-428-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD DENTAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "614-428-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Dental & Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie Robinson, LISW-S
• Gloria Jean Rogan, RN
• Michelle Raney Adkins Rogers, D.C.
• Jessica Rollings, CNP
• Benjamin G. Romer, M.D.
• Elizabeth Rachel Rosenthal, DMD
• Cynthia Scarbrough Ross, PT
• Donn David Ross, MS, LICDC
• Scott William Rossio, D.P.M.
• Lindsey A Rowan, PT

• Dental Clinic/Center in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.