Angela V. Ross, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9941 Issued in MN

Practice address

5804 Excelsior Blvd
St Louis Park, MN 55416-2830

Phone

(952) 922-7117

Fax

(952) 927-8534

NPI assigned

Jul 20, 2006

Sex

Female

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

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.

• Family Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Louis Park, MN
  • NPI 1801991146
  NPD (past) Authorized official
• Rosemary Lelich PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Louis Park, MN
  • NPI 1356967061
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376563304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 EXCELSIOR BOULEVARD",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-922-7117",
            "fax_number": "952-927-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162830",
            "telephone_number": "952-922-7117",
            "fax_number": "952-927-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANGELA",
        "middle_name": "V.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "9941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Marc Rosenfeld, MA
• Karla Susan Rosenman, MD
• Hannah Elizabeth Rosenthal Danielson, PA-C
• Roseville Eye Associates P.a.
• Heather Rae Ross-Chalupnik, CRNA
• Anna A Ross
• Laura Joyce-Carlson Ross, PA-C
• Sarah Rae Rossall, MPA, PA-C
• Liv Rostad
• Lydia Gail Roth-Laube, PH.D

• Orthodontics and Dentofacial Orthopedics Dentistry in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.