Ben Brooks Ross, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

040141202 Issued in VA

Practice address

404 People PL
Suite 301
Charlottesville, VA 22911-3565

Phone

(434) 977-9836

Fax

(434) 977-1361

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

State licenses

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1891765756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 PEOPLE PL",
            "address_2": "SUITE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113565",
            "telephone_number": "434-977-9836",
            "fax_number": "434-977-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 PEOPLE PL",
            "address_2": "SUITE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113565",
            "telephone_number": "434-977-9836",
            "fax_number": "434-977-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BEN",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012635",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "040141202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey L Rosenthal, MD
• Eleanor Gloria Rosenzweig, LCSW, MSW
• Rosewood Village Rehab Services,LLC
• Ella M Rosner, CRNA
• Mitchell H. Rosner
• Michael Evan Ross, C PED
• Sallie Ross, LCSW
• Maria Agustina Rossetti, PH.D.
• Alyshea Lee Rossi, BD
• Ann M. Rossi, N.P.

• Prosthodontics in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.