John M. Rose, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JOHN M. ROSE, D.D.S., M.S.

Practice address

376 Larry Power Rd
Bourbonnais, IL 60914-5184

Phone

(815) 802-1217

Fax

(815) 802-1252

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John M. Rose, D.D.S., M.S.

Title

Orthodontist

Phone

(815) 802-1217

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.

• Zachary T. Frazier, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bourbonnais, IL
  • NPI 1194017699
  NPD (past)

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1831427335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 LARRY POWER RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145184",
            "telephone_number": "815-802-1217",
            "fax_number": "815-802-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 LARRY POWER RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145184",
            "telephone_number": "815-802-1217",
            "fax_number": "815-802-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. ROSE, D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "815-802-1217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Jarrett
• Jeff D. Kazmierczak, Psy.D., P.C.
• Lisa Marie Jeziorny Kerouac, O.D.
• Jo Ellen Carl LTD
• Megan Joern, APRN
• John P. Hung, M.D.,S.C.
• Naima Johnson
• Sarah E Johnson, BCBA
• Nancy Johnston, LPC
• Jojo Saysons Physical Therapy and Rehabilitation LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.