Bradley R Ross, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN03064 Issued in RI

Practice address

31 King Charles Dr
Portsmouth, RI 02871-1365

Phone

(401) 293-5933

NPI assigned

Aug 26, 2005

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Care Endodontics Inc

  • Endodontics
  • Portsmouth, RI
  • NPI 1750711420
  NPD (past)
• Advanced Care Endodontics Inc

  • Endodontics
  • Portsmouth, RI
  • NPI 1811210024
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1679566418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 KING CHARLES DR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711365",
            "telephone_number": "401-293-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 KING CHARLES DR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711365",
            "telephone_number": "401-293-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BRADLEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026275",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "DEN03064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "019-026275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 02358)
• Ri Home Based Counseling
• Diane Elizabeth Richardson Lucier, MSW
• Jessica Roche
• Dariann Rose
• Crisana Roussel-Heroux
• Marian Ann Royer, DMD
• Jon A Ruel, DMD, MSCD
• Hope B Ryan, APRN, BC
• Alanna Sadoff, LMHC

• Endodontics in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Endodontics in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.