Rose Park Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21034 Issued in TX

Legal business name

ROSE PARK DENTAL

Practice address

217 N Walnut Creek Dr
Suite a
Mansfield, TX 76063-1791

Phone

(817) 473-1159

Fax

(817) 473-0607

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Hoang Le

Title

Dentist/Owner

Phone

(817) 473-1159

Specialties & licenses 1

Addresses

Tax ID family

GM Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GM Family Dental

  • Dental Clinic/Center
  • Grand Prairie, TX
  • NPI 1407025687
  NPD tax ID

Locations

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1730358912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N WALNUT CREEK DR",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631791",
            "telephone_number": "817-473-1159",
            "fax_number": "817-473-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N WALNUT CREEK DR",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631791",
            "telephone_number": "817-473-1159",
            "fax_number": "817-473-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HOANG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-473-1159"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "21034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Rogers
• Jessica Leigh Rogers, MA, LPC
• Rooted Rebellion Counseling, PLLC
• Warren Paul Roquet, MD
• Jacqueline Rosckes, LPC
• Grace Rosiji
• Lora Rosman, LMSW
• Kevin Rossler, PHARM D.
• Rosyes Garden Residential Services
• Sarah Anne Siemsen Rothgeb, D.C.

• Dental Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.