Mark S Rosebush, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2009 Issued in MT

Practice address

2376 Main St Ste 812
Billings, MT 59105-4018

Phone

(406) 656-5200

Fax

(406) 651-0958

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1396830493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 MAIN ST STE 812",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054018",
            "telephone_number": "406-656-5200",
            "fax_number": "406-651-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 MAIN ST STE 812",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054018",
            "telephone_number": "406-656-5200",
            "fax_number": "406-651-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBUSH",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112421",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20094",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP AFFILIATED COMP",
            "identifier": "5511468",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace A Rose, DO
• Karen Rose
• Sara Terese Rose, RN
• Tara M. Rose, ACLC
• Taylor Rae Rose
• Rene Fraser Rosell Yarbrough
• Lily Jee-Eun Rosenblum
• Gayle Alan Roset, DDS
• Ross Dental, Inc.
• Derrek Andrew Ross, M.DIV, LAC, LCPC

• General Practice Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.