Katherine M Rose, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS040833 Issued in PA

Practice address

65 Maple Dr
Beaver, PA 15009-1025

Phone

(724) 495-6700

NPI assigned

Jun 6, 2016

Sex

Female

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 PA

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

State licenses

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1629427224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MAPLE DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091025",
            "telephone_number": "724-495-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAPLE DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091025",
            "telephone_number": "724-495-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Adams St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "PA",
            "postal_code": "150742103",
            "country_code": "US",
            "telephone_number": "724-774-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Robison, CRNP
• Susan Moore Rodgers II, RD, LDN, CDE
• Joseph W. Rooney, M.D.
• Sara Joelle Roper, M.D.
• Adam Patrick Rose, PHARM.D
• Lance G Rose, D.M.D.
• Diane S Rosenkranz, M. ED.
• Lisa Violi Ross, M.D.
• Aditi Roy, MD
• Robert J Rozman, LSW

• Dentist in Beaver, PA
• Providers in Beaver, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.