James David Rostvold, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

09461 Issued in MN

Practice address

1043 E Highway 169
Grand Rapids, MN 55744

Phone

(218) 326-2560

NPI assigned

Dec 4, 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 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• James Rostvold

  dba West Range Dental Care

  • General Practice Dentistry
  • Grand Rapids, MN
  • NPI 1205584307
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1386712537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440330",
            "telephone_number": "218-326-2560",
            "fax_number": "218-326-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 E HIGHWAY 169",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTVOLD",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "09461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872720100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolette Ronaye Roberts
• Bridgitte Lee Rondeau, LADC
• Roots Chiropractic Center LLC
• Ross Resources LTD.
• Anthony N Ross, LGSW
• Michele Roth, LADC
• Stanley Raymond Roth, RPH
• Janice M. Rourk, MD
• Byron G Rowell, DDS
• Laura Roy

• Dentist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.