NPIMap

Organization Active NPI

Ethan a Roos PC

Doing business as Sunset Dental Professionals

  • Dentist
  • Norwalk, IA
National Provider Identifier
1487821625
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08265 Issued in IA
Legal business name
ETHAN A ROOS PC
Doing business as
Sunset Dental Professionals
Practice address
1326 Sunset Dr
Norwalk, IA 50211-1344
Phone
(515) 981-0444
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Ethan Andre Roos, DDSNPI 1578640801
Title
Dentist
Phone
(515) 981-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08265 IA Primary

Addresses

Primary practice location

1326 Sunset Dr
Norwalk, IA 50211-1344

Mailing address

1326 Sunset Dr
Norwalk, IA 50211-1344
Phone (515) 981-0444

Other names 1

  • Sunset Dental Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

1326 Sunset Dr
Norwalk, IA 50211
Phone (515) 981-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1487821625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 SUNSET DR",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111344",
            "telephone_number": "515-981-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 SUNSET DR",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111344",
            "telephone_number": "515-981-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN A ROOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "515-981-0444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.