Active NPI
Danielle Malbasa Rose, M.D.
- Pediatric Adolescent Medicine Physician
- Salisbury, NC
National Provider Identifier
1871605303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 35016
- Practice address
- 129 Woodson St
Salisbury, NC 28144-3255 - Phone
- (704) 636-5576
- Fax
- (704) 216-2011
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35016 | NC | |
| Pediatrics Physician | 208000000X | 35016 | NC | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35016 | NC | |
| Pediatric Surgery Physician | 2086S0120X | 35016 | NC | |
| General Practice Physician | 208D00000X | 35016 | NC | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 35016 | NC | Primary |
Addresses
Primary practice location
129 Woodson St
Salisbury, NC 28144-3255
Mailing address
129 Woodson St
Salisbury, NC 28144-3255
Phone (704) 636-5576
Other practice location 1
109 Woodson Street
Salisbury, NC 28144-3255
Phone (704) 636-5576
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143J3 | Other | NC | BCBS |
| 8910656 | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35016 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1871605303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 WOODSON ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281443255",
"telephone_number": "704-636-5576",
"fax_number": "704-636-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 WOODSON ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281443255",
"telephone_number": "704-636-5576",
"fax_number": "704-216-2011"
}
],
"practiceLocations": [
{
"address_1": "109 Woodson Street",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281443255",
"country_code": "US",
"telephone_number": "704-636-5576",
"fax_number": "704-636-1755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "DANIELLE",
"middle_name": "MALBASA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "35016",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "35016",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NC",
"license": "35016",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NC",
"license": "35016",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "35016",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NC",
"license": "35016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "143J3",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910656",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.