Mount Rose Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOUNT ROSE DENTAL PLLC

Practice address

1600 6TH Avenue
#109
York, PA 17403-2626

Phone

(717) 852-7475

NPI assigned

May 31, 2021

Organization subpart

No

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

Authorized official

Name

Dr. David Black, DMDNPI 1164874145

Title

President/Ceo

Phone

(202) 213-1544

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Detweiler Black, DMD

  • General Practice Dentistry
  • Harrisburg, PA
  • NPI 1164874145
  NPD Authorized official
• Daniel A Shalkey, DDS

  • Dentist
  • York, PA
  • NPI 1063689370
  NPD (past)

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1427624592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 GREEN ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022914",
            "telephone_number": "202-213-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 6TH AVENUE",
            "address_2": "#109",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-852-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ROSE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-213-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Motacki, MD
• Amirsaba Motamedi, DDS
• Daniel Frederick Motter, DO
• Leo Justin Motter, MD
• Ajaya Triveni Moturu, M.D.
• Joseph A Mountain Jr., DMD
• Lajuan M Mountain, DMD
• Cassandra Mountz
• Rachel Lea Mowry, CRNP
• Alyssa Larin Moyer, MD

• General Practice Dentistry in York, PA
• Providers in York, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.