Active NPI
Allison Rose, DMD
- Pediatric Dentistry
- Philadelphia, PA
National Provider Identifier
1558355982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS-031312L
- Practice address
- 2821 Island Ave
Philadelphia, PA 19153-2300 - Phone
- (215) 365-1033
- Fax
- (215) 365-1145
- NPI assigned
- Aug 31, 2005
- Last updated
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS-031312L | PA | Primary |
Addresses
Primary practice location
2821 Island Ave
Philadelphia, PA 19153-2300
Mailing address
1637 Oakwood Dr
South 319
Narberth, PA 19072-1002
Phone (610) 617-0374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-031312L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1558355982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1637 OAKWOOD DR",
"address_2": "SOUTH 319",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721002",
"telephone_number": "610-617-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 ISLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532300",
"telephone_number": "215-365-1033",
"fax_number": "215-365-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS-031312L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.