Active NPI
Adam Lee Rose, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Bradenton, FL
National Provider Identifier
1760834238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN22807
- Practice address
- 1410 59TH St W
Bradenton, FL 34209-4607 - Phone
- (941) 792-0088
- NPI assigned
- Jul 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN22807 | FL | Primary |
Addresses
Primary practice location
1410 59TH St W
Bradenton, FL 34209-4607
Mailing address
303 Main St
Apt. 317
Hempstead, NY 11550-1427
Phone (724) 407-8344
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1760834238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MAIN ST",
"address_2": "APT. 317",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115501427",
"telephone_number": "724-407-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094607",
"telephone_number": "941-792-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "ADAM",
"middle_name": "LEE",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-08",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN22807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.