Diana T. Rose, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

41866 Issued in CA

Practice address

4185 Blackhawk Plaza Circle
Suite 210
Danville, CA 94506

Phone

(925) 648-3651

Fax

(925) 648-3657

NPI assigned

Jul 17, 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

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.

Opted out of Medicare

Yes, effective Jul 9, 2015 through Jul 9, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1407874779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 BLACKHAWK PLAZA CIRCLE",
            "address_2": "SUITE 210",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "925-648-3651",
            "fax_number": "925-648-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 BLACKHAWK PLAZA CIRCLE",
            "address_2": "SUITE 210",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "925-648-3651",
            "fax_number": "925-648-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DIANA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Romero
• Stephen John Ronan, MD
• Kathy Rooney, MSN, RN, PHN
• Rose Garden Psychiatric Nursing Services
• Daniel Lee Rose, M.S., D.D.S.
• Hannah Rhythm Rosen, AMFT
• Joree T Rosenblatt, LMFT
• Noah Jacob Rosenthal
• Robert A Rovner, MD
• Svetlana Rubin, MS, CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Danville, CA
• Providers in Danville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.