Dr Kenneth E Ross, DMD, MSD, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN 0013427 Issued in FL

Legal business name

DR KENNETH E ROSS, DMD, MSD, PA

Practice address

2211 NE 36TH St
Ste. 103
Lighthouse Point, FL 33064-7577

Phone

(954) 941-2277

Fax

(954) 785-5034

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth E. Ross, DMDNPI 1700035524

Title

Periodontist

Phone

(954) 941-2277

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth E Ross, DMD, MSD, PA

  • Periodontics
  • Sarasota, FL
  • NPI 1700035524
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376688473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NE 36TH ST",
            "address_2": "STE. 103",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647577",
            "telephone_number": "954-941-2277",
            "fax_number": "954-785-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NE 36TH ST",
            "address_2": "STE. 103",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647577",
            "telephone_number": "954-941-2277",
            "fax_number": "954-785-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH E ROSS, DMD, MSD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "954-941-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 0013427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.