Rosengren Family Dental Group, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60269425 Issued in WA

Legal business name

ROSENGREN FAMILY DENTAL GROUP, INC.

Doing business as

Rosengren Family Dental Group

Practice address

24722 104TH Ave SE
Suite 201
Kent, WA 98030-5322

Phone

(253) 859-0123

Fax

(253) 859-5864

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eric Bruce Rosengren, D.D.S.NPI 1508093386

Title

Owner

Phone

(253) 859-0123

Specialties & licenses 1

Addresses

Other names 1

• Rosengren Family Dental Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Bruce Rosengren, D.D.S.

  • General Practice Dentistry
  • Kent, WA
  • NPI 1508093386
  NPD (past) Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1669732897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24722 104TH AVE SE",
            "address_2": "SUITE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305322",
            "telephone_number": "253-859-0123",
            "fax_number": "253-859-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24722 104TH AVE SE",
            "address_2": "SUITE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305322",
            "telephone_number": "253-859-0123",
            "fax_number": "253-859-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENGREN FAMILY DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "ROSENGREN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-859-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60269425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosengren Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romney Chiropractic LLC
• Alisha Elizabeth Romney, D.C.
• Renee Romo, MA, LAT, ATC
• Hannah Grace Rosborough, CDP
• Brighid O Rose, DPT
• Eric Bruce Rosengren, D.D.S.
• Philip Rosengren, DDS
• Stephanie Rosentrater, SLP
• Margarita Rossiytseva
• Robert B. Rourke, D.D.S.

• General Practice Dentistry in Kent, WA
• Providers in Kent, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.