Reginald F Rose, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3277 Issued in AL

Practice address

402 Cogswell Ave
Pell City, AL 35125-2446

Phone

(205) 338-2915

NPI assigned

Mar 20, 2007

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

Opted out of Medicare

Yes, effective Sep 21, 2015 through Sep 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Affordable Dentures - Pell City/Eden, P.C.

  • Dentist
  • Pell City, AL
  • NPI 1780970970
  NPD (past) Authorized official
• Affordable Dentures & Implants - Birmingham-Hoover, P.C.

  dba Affordable Dentures & Implants - Birmingham-Hoover

  • Dentist
  • Birmingham, AL
  • NPI 1073095212
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548385461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351252446",
            "telephone_number": "205-338-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351252446",
            "telephone_number": "205-338-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "REGINALD",
        "middle_name": "F",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Tribble Roberti
• Kathryn Krista Rodgers, MS CCC-SLP
• Hailey Rodriguez Reyes, ALC
• James Sidney Roe, DMD
• Tabitha Romine
• Kelsie W Roulaine, NP
• Carl Hunter Russell, M.D.
• Amanda Moorman Sanford, CRNP FNP-BC
• Claud H Saunders, PTA
• David Timothy Sawyer, DMD

• Dentist in Pell City, AL
• Providers in Pell City, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.