NPIMap

Organization Active NPI

Rose Dental Care of Tyler

  • Dentist
  • Tyler, TX
National Provider Identifier
1538555370
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27603 Issued in TX
Legal business name
ROSE DENTAL CARE OF TYLER
Practice address
5111 Troup Hwy
100
Tyler, TX 75707-1919
Phone
(903) 787-3625
NPI assigned
Apr 8, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Latasha Nash
Title
Owner/Provider
Phone
(903) 787-3625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27603 TX Primary

Addresses

Primary practice location

5111 Troup Hwy
100
Tyler, TX 75707-1919

Mailing address

5111 Troup Hwy
100
Tyler, TX 75707-1919
Phone (903) 787-3625

National Provider Directory

National Provider Directory

Locations

5111 Troup Hwy
Ste 100
Tyler, TX 75707
Phone (903) 787-3625

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1538555370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 TROUP HWY",
            "address_2": "100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071919",
            "telephone_number": "903-787-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 TROUP HWY",
            "address_2": "100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071919",
            "telephone_number": "903-787-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DENTAL CARE OF TYLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-787-3625"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.