Henry David Rossi III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4455-015 Issued in WI

Practice address

617 Ethan Allen Dr
Howards Grove, WI 53083-1267

Phone

(920) 565-3369

Fax

(920) 565-3360

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 1, 2016 through Aug 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Howards Grove Family Dental, LLC

  • General Practice Dentistry
  • Howards Grove, WI
  • NPI 1023603230
  NPD (past)
• Steven R. Lindstrom D.D.S., S.C.

  • Dentist
  • Howards Grove, WI
  • NPI 1215339130
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1881640480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 ETHAN ALLEN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831267",
            "telephone_number": "920-565-3369",
            "fax_number": "920-565-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 ETHAN ALLEN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831267",
            "telephone_number": "920-565-3369",
            "fax_number": "920-565-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "HENRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4455-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Nolan-Olmsted, P.T.
• Amy Marie O'Connor, RN, BSN, PMH-BC
• Lydia Lorraine Pomeroy, RN BSN
• David John Portmann, D.C.
• Robert J Remington, MD
• Abby M Safranski, D.O.
• School District of Howards Grove
• Steven R. Lindstrom D.D.S., S.C.
• Varish Chiropractic Clinics, LLC
• George P. Varish III, D.C.

• General Practice Dentistry in Howards Grove, WI
• Providers in Howards Grove, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.