Christopher Michael Rossow, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901017641 Issued in MI

Practice address

1101 Water St
Port Huron, MI 48060-4421

Phone

(810) 650-2785

Fax

(810) 982-9829

NPI assigned

Apr 21, 2008

Last updated

Feb 19, 2020By 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Christopher M Rossow DDS PC

  • Dental Clinic/Center
  • Port Huron, MI
  • NPI 1245863182
  NPD Authorized official

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1578737557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603733",
            "telephone_number": "810-982-9801",
            "fax_number": "810-982-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604421",
            "telephone_number": "810-650-2785",
            "fax_number": "810-982-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOW",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Brickey Assoc PC
• Patrice Jeannine Rood, MA
• Christopher Bernard Roskopp, D.O.
• Emily Ann Ross
• Lynda Ross, LPC
• Marnie M Rossow
• Melissa Ann Rotary, MSW
• Michelle M Rousseau, PSY.D.
• Ashley Rowbotham
• Gabriela Rowinsky, LCSW

• Dentist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.