Organization Active NPI

Rossodontics Dental Sleep Medicine

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Forest Lake, MN
National Provider Identifier
1588094171
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ROSSODONTICS DENTAL SLEEP MEDICINE
Practice address
368 Lake St S Ste 101
Forest Lake, MN 55025-2824
Phone
(651) 464-6988
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Gregory Kent Ross, D.D.S.NPI 1477607075
Title
Owner
Phone
(651) 207-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

368 Lake St S Ste 101
Forest Lake, MN 55025-2824

Mailing address

368 Lake St S Ste 101
Forest Lake, MN 55025-2824
Phone (651) 464-6988

Other practice location 1

2215 Vine St Ste B
Hudson, WI 54016-5862
Phone (715) 808-8379

National Provider Directory

National Provider Directory

Locations

1068 Lake St S
Ste 205
Forest Lake, MN 55025
Phone (651) 464-6988

368 Lake St S
Ste 101
Forest Lake, MN 55025
Phone (651) 464-6988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1588094171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 LAKE ST S STE 101",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252824",
            "telephone_number": "651-464-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 LAKE ST S STE 101",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252824",
            "telephone_number": "651-464-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Vine St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540165862",
            "country_code": "US",
            "telephone_number": "715-808-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSSODONTICS DENTAL SLEEP MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-207-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.