Rosa of North Dallas LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ROSA OF NORTH DALLAS LLC

Practice address

12606 Greenville Ave
Suite 160
Dallas, TX 75243-1921

Phone

(469) 364-7880

Fax

(469) 364-7895

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIATION ONCOLOGY SERVICES OF AMERICA INC.As reported in NPPES

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

Authorized official

Name

Gregory S. Merrill

Title

Chief Operating Officer

Phone

(615) 250-1798

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy D Nichols, MD

  • Radiation Oncology Physician
  • Dallas, TX
  • NPI 1093752073
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1780952267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SEVEN SPRINGS WAY",
            "address_2": "SUITE 220",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274537",
            "telephone_number": "615-250-1798",
            "fax_number": "615-250-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "SUITE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "469-364-7880",
            "fax_number": "469-364-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA OF NORTH DALLAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIATION ONCOLOGY SERVICES OF AMERICA INC.",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "615-250-1798"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Roque
• Milford Otis Roque
• Therese Roque, MS, CCC-SLP
• Cortney Roquemore-Thompson, FNP-C
• Pedro Rosa Neto, MD. PHD.
• Nicole Marie Rosado Alicea
• Abigail Rosales
• Emily Rosales
• Frank Rosales, DDS
• Karina Rosales, LCSW

• Radiation Oncology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.