Jason Oser Rosetti, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

FR1827508 Issued in MS

Practice address

1301 25TH Ave
Ste 3
Gulfport, MS 39501-1932

Phone

(228) 867-0121

Fax

(228) 867-0121

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Harbor View Oral and Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Gulfport, MS
  • NPI 1063781086
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1689888745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 25TH AVE",
            "address_2": "STE 3",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011932",
            "telephone_number": "228-867-0121",
            "fax_number": "228-867-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 25TH AVE",
            "address_2": "STE 3",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011932",
            "telephone_number": "228-867-0121",
            "fax_number": "228-867-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETTI",
        "first_name": "JASON",
        "middle_name": "OSER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "FR1827508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Roque, IDC
• James Lawrence Rose II, MD
• Cynthia Rosenberry, CRNA
• Tanya Rosenzweig
• Aaron Rayne Rosetti, FNP-BC
• Diane Ellen Ross, M.D.
• Gabrielle Ross
• Meagan Shae Ross
• Stone Ross
• Kelly N Roundtree, SLP

• Oral and Maxillofacial Surgery (Dentist) in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.