Ryan Judson Ross, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4125 Issued in MT

Practice address

2911 Grand Ave
Billings, MT 59102-6526

Phone

(406) 245-4922

Fax

(406) 245-4174

NPI assigned

Jun 12, 2012

Last updated

Feb 7, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gadc PLLC

  • General Practice Dentistry
  • Billings, MT
  • NPI 1255097614
  NPD Authorized official
• Ross Dental, Inc.

  dba Grand Avenue Dental Care

  • General Practice Dentistry
  • Billings, MT
  • NPI 1821561887
  NPD Authorized official

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1508128919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026526",
            "telephone_number": "406-245-4922",
            "fax_number": "406-245-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026526",
            "telephone_number": "406-245-4922",
            "fax_number": "406-245-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RYAN",
        "middle_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Dental, Inc. (Grand Avenue Dental Care)
• Derrek Andrew Ross, M.DIV, LAC, LCPC
• Joel Mark Ross, DO
• Juanita Sharon Ross, BBH-LCPC-LIC-11541
• Louis Voelkel Ross, M.D.
• Scott K. Ross, MD
• Ryan Rosselott, PHARMD
• Paige Rossol
• Carrie Roth, MA, LAC
• Jennifer Wynn Roth, LMT NMT CKTP

• 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 Feb 7, 2019; 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.