Individual provider Active NPI

Eric Christopher Rossow, D.D.S.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1639167166
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9362 Issued in CO
Practice address
3300 E 1St Ave
Suite 300
Denver, CO 80206-5810
Phone
(303) 399-0400
Fax
(303) 399-1897
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
9362COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rossow, P.C. General Practice Past Accepting new patients
Mountain Smiles - Aspen Dental, PLLC General Practice PastSince May 19, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9362 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

3300 E 1St Ave
Suite 300
Denver, CO 80206-5810

Mailing address

3300 E 1St Ave
Suite 300
Denver, CO 80206-5810
Phone (303) 399-0400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2015.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1639167166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065810",
            "telephone_number": "303-399-0400",
            "fax_number": "303-399-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065810",
            "telephone_number": "303-399-0400",
            "fax_number": "303-399-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOW",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.