Desert Rose Ink & Aesthetics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DESERT ROSE INK & AESTHETICS LLC

Practice address

117 N Frontier St
Wickenburg, AZ 85390-1418

Phone

(928) 671-0904

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Leigh-Steed RoseNPI 1235849555

Title

Owner/Paramedical Tattoo Artist

Phone

(928) 671-0904

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.

• Crystal Rose

  • Licensed Practical Nurse
  • Portland, OR
  • NPI 1235849555
  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1821842642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17180 W SWEETWATER AVE UNIT 1088",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883404",
            "telephone_number": "928-671-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N FRONTIER ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901418",
            "telephone_number": "928-671-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE INK & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LEIGH-STEED",
        "authorized_official_title_or_position": "OWNER/PARAMEDICAL TATTOO ARTIST",
        "authorized_official_telephone_number": "928-671-0904"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Cumella, PHD
• Roy J Cutter, LPC
• Claudia L Danker, LPC
• Sandra L Derau, M.A.
• Desert Integrated Medicine, LLC
• Diane Detwiler-Zapp, LPC
• Sherrill L Dillard, MSW
• Dr. John R. Markham PC (Prescott Vision & Eye Surgery Center)
• Dr. John Schrolucke, Optometrist
• John Echeverria

• Specialist in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.