NPIMap

Organization Active NPI

Dennis E. Rose, M.D., P.a.

  • Otolaryngology Physician
  • Port Arthur, TX
National Provider Identifier
1639358203
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G8966 Issued in TX
Legal business name
DENNIS E. ROSE, M.D., P.A.
Practice address
7650 Anchor Dr
Port Arthur, TX 77642-8201
Phone
(409) 722-7900
NPI assigned
Oct 30, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Kristin Baker
Title
Office Manager
Phone
(409) 722-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G8966 TX Primary

Addresses

Primary practice location

7650 Anchor Dr
Port Arthur, TX 77642-8201

Mailing address

7650 Anchor Dr
Port Arthur, TX 77642-8201
Phone (409) 722-7900

National Provider Directory

National Provider Directory

Locations

7650 Anchor Dr
Port Arthur, TX 77642
Phone (409) 722-7900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1639358203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 ANCHOR DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428201",
            "telephone_number": "409-722-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 ANCHOR DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428201",
            "telephone_number": "409-722-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS E. ROSE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-722-7900"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.