Joseph Anthony Derose, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18301 Issued in MI

Practice address

131 North Avenue
Battle Creek, MI 49014

Phone

(269) 963-3894

Fax

(269) 963-3980

NPI assigned

Apr 4, 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

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.

• Derose Family Dentistry, P.C.

  • General Practice Dentistry
  • Battle Creek, MI
  • NPI 1114081692
  NPD (past) Authorized official

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1356607279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173416",
            "telephone_number": "269-963-3894",
            "fax_number": "269-963-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NORTH AVENUE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49014",
            "telephone_number": "269-963-3894",
            "fax_number": "269-963-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Dreams PLLC
• Samantha Denton
• Dermatology & Skin Surgery Center
• Derose Family Dentistry, P.C.
• Anthony Louis Derose
• Mark R Deruiter, MA, LLMFT
• Sudhir L Desai, MD
• Kaylanna Alexis Desjarlais, DPT
• Detroit Bio Medical Laboratories,Inc
• Kristine Ann Detty, LISW

• General Practice Dentistry in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.