Active NPI
Jessica Rose, DDS, MSD
- Pediatric Dentistry
- Huntersville, NC
National Provider Identifier
1699345694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14005
- Practice address
- 15810 Northcross Dr Ste a
Huntersville, NC 28078-5070 - Phone
- (704) 909-4566
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 14005 | NC | Primary |
| Dentist | 122300000X | 0401417538 | VA |
Addresses
Primary practice location
15810 Northcross Dr Ste a
Huntersville, NC 28078-5070
Mailing address
15810 Northcross Dr Ste a
Huntersville, NC 28078-5070
Phone (704) 909-4566
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 |
|---|---|---|---|
| 0401417538 | VA | MD | Dentist |
| 14005 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M. Bakarich, DDS, PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
15810 Northcross Dr
Ste A
Huntersville, NC 28078
Phone (704) 909-4566
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.
-
- Pediatric Dentistry
- Huntersville, NC
- NPI 1538787718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1699345694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15810 NORTHCROSS DR STE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785070",
"telephone_number": "704-909-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15810 NORTHCROSS DR STE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785070",
"telephone_number": "704-909-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JESSICA",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "14005",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417538",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.