Active NPI
Chad Alan Ross
- Pediatric Dentistry
- Erie, CO
National Provider Identifier
1770102576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00205855
- Practice address
- 61 Erie Pkwy
Erie, CO 80516-2591 - Phone
- (303) 500-3202
- NPI assigned
- Apr 11, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN.00205855 | CO | Primary |
Addresses
Primary practice location
61 Erie Pkwy
Erie, CO 80516-2591
Mailing address
2308 Ranch Dr
Westminster, CO 80234-2667
Phone (727) 631-1225
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 |
|---|---|---|---|
| DEN.00205855 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bresler Richmond Dental Associates | Single Specialty | Past | Accepting new patients |
| Mini Miners Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
| David a. Bresler DDS PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Dentistry
- Erie, CO
- NPI 1689371015
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1225183072
Single Specialty
-
- Pediatric Dentistry
- Philadelphia, PA
- NPI 1134251580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1770102576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 RANCH DR",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342667",
"telephone_number": "727-631-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 ERIE PKWY",
"city": "ERIE",
"state": "CO",
"postal_code": "805162591",
"telephone_number": "303-500-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHAD",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-11",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00205855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.