Kenneth E Ross, DMD, MSD, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN0013427 Issued in FL

Practice address

2820 Clark Rd
Sarasota, FL 34231-6220

Phone

(941) 926-4800

NPI assigned

Sep 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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.

• Dr Kenneth E Ross, DMD, MSD, PA

  • Periodontics
  • Lighthouse Point, FL
  • NPI 1376688473
  NPD (past) Authorized official
• Ryan C. Taylor, DDS, PA

  • Periodontics
  • Sarasota, FL
  • NPI 1023480092
  NPD (past)
• TDN Dentistry, PLLC

  dba Ryan C Taylor DDS

  • Periodontics
  • Sarasota, FL
  • NPI 1396462479
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1700035524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 RIVERS BLUFF CIR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342021847",
            "telephone_number": "561-212-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316220",
            "telephone_number": "941-926-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tamiami Trl N Ste F",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342851914",
            "country_code": "US",
            "telephone_number": "941-484-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 36th St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Lighthouse Point",
            "state": "FL",
            "postal_code": "330647577",
            "country_code": "US",
            "telephone_number": "954-941-2277",
            "fax_number": "954-785-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN13427",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0013427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oren Rosenthal, P.T.
• Gabrielle K Rosenwald, AU.D.
• Justine Roskovich, PHARMD
• Rosman Whole Personhealthcare, LLC
• Joseph Ross, PA
• Megan Ross, CRNA
• Norman L Ross Jr., MD
• Rona W. Ross, PH.D.
• James Rossignol, M.D.
• Kay S Rost, M.D.

• Periodontics in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.