Individual provider Active NPI

Robert Edward Rosswog, D.M.D.

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1649280504
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027792L Issued in PA
Practice address
333 Thompson Run Rd
Pittsburgh, PA 15237-3367
Phone
(412) 486-7344
Fax
(412) 486-8299
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS027792L PA Primary

Addresses

Primary practice location

333 Thompson Run Rd
Pittsburgh, PA 15237-3367

Mailing address

333 Thompson Run Rd
Pittsburgh, PA 15237-3367
Phone (412) 486-7344

Other identifiers 1

IdentifierTypeStateIssuer
685049OtherPABLUE CROSS/BLUE SHIELD

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
DS027792LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649280504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 THOMPSON RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373367",
            "telephone_number": "412-486-7344",
            "fax_number": "412-486-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 THOMPSON RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373367",
            "telephone_number": "412-486-7344",
            "fax_number": "412-486-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSWOG",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027792L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "685049",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.