Graham C Rose, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007742 Issued in VA

Practice address

2010 Bremo Rd
Suite 121
Richmond, VA 23226-2444

Phone

(804) 282-9191

NPI assigned

Jul 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366458358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BREMO RD",
            "address_2": "SUITE 121",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262444",
            "telephone_number": "804-282-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BREMO RD",
            "address_2": "SUITE 121",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262444",
            "telephone_number": "804-282-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GRAHAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "878972",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "146471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Roscoe, QMHP-T
• Tyshauna Rose-Parker, CSAC
• Barry Leon Rose, D.O.
• Bethany R. Rose, AUD
• Carrie Rose, FNP-C
• Jennifer Winston Rose
• Jessica Rose, SLP
• Katherine Rose, DMD
• Martine C Rose, D.D.S.
• Michelle T Rose

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.