Active NPI
Stuart Ross, D.M.D.
- Periodontics
- Warwick, RI
National Provider Identifier
1659402527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN8366
- Practice address
- 67 Jefferson Boulvard
Warwick, RI 02888-1053 - Phone
- (401) 781-2742
- Fax
- (401) 781-2740
- NPI assigned
- Mar 9, 2007
- Last updated
- Jun 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN01641 | RI | |
| Periodontics | 1223P0300X | DN8366 | FL | Primary |
Addresses
Primary practice location
67 Jefferson Boulvard
Warwick, RI 02888-1053
Mailing address
1880 Arlington St
Ste 205
Sarasota, FL 34239-1053
Phone (941) 955-2299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN8366 | Other | FL | STATE DENTAL LIC |
| DEN 01641 | Other | RI | STATE DENTAL LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN8366 | FL | MD | Periodontist |
| DEN01641 | RI | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Dental Specialties PA | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Periodontics
- Sarasota, FL
- NPI 1831556273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1659402527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 ARLINGTON ST",
"address_2": "STE 205",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342391053",
"telephone_number": "941-955-2299",
"fax_number": "941-951-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 JEFFERSON BOULVARD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028881053",
"telephone_number": "401-781-2742",
"fax_number": "401-781-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "RI",
"license": "DEN01641",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN8366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LIC",
"identifier": "DN8366",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LIC",
"identifier": "DEN 01641",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.