NPIMap

Organization Active NPI

Rose Dental Group PLLC

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1366500803
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ROSE DENTAL GROUP PLLC
Practice address
11615 Angus Rd
Ste 210
Austin, TX 78579
Phone
(512) 795-9643
Fax
(512) 795-9959
NPI assigned
Dec 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Sergio Escobar, DDS
Title
Partner Owner
Phone
(512) 795-9643

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Oral and Maxillofacial Pathology Dentistry 1223P0106X NU
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

11615 Angus Rd
Ste 210
Austin, TX 78579

Mailing address

11615 Angus Rd
Ste 210
Austin, TX 78579
Phone (512) 795-9643

National Provider Directory

National Provider Directory

Locations

11615 Angus Rd
Ste 210
Austin, TX 78759
Phone (512) 795-9643

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366500803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD",
            "address_2": "STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78579",
            "telephone_number": "512-795-9643",
            "fax_number": "512-795-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD",
            "address_2": "STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78579",
            "telephone_number": "512-795-9643",
            "fax_number": "512-795-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "512-795-9643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.