Thomas P. Rose, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25620 Issued in CA

Practice address

17900 Brookhurst St.
Suite C
Fountain Valley, CA 92708-5161

Phone

(714) 964-0021

Fax

(714) 965-1431

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881716033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 BROOKHURST ST.",
            "address_2": "SUITE C",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085161",
            "telephone_number": "714-964-0021",
            "fax_number": "714-965-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 BROOKHURST ST.",
            "address_2": "SUITE C",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085161",
            "telephone_number": "714-964-0021",
            "fax_number": "714-965-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Rojek, PRESIDENT AND C.P.O.
• Regina Romero-Davis
• Kais Rona
• Ronald J Policastro MD Inc
• Rose Point Acupuncture Inc
• Rosemary R. Jadia, D.P.M.
• Abigail Lee Ross
• Craig A Ross, M.D.
• Kayla Renee Rosu, RBT
• Julia Anne Rotino, B.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.