Jennifer Trider Rose, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008732 Issued in VA

Practice address

7110 Patterson Ave
Ste C
Henrico, VA 23229-6755

Phone

(804) 285-8290

Fax

(804) 285-0733

NPI assigned

Jul 26, 2006

Sex

Female

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

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

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1952324261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 PATTERSON AVE",
            "address_2": "STE C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296755",
            "telephone_number": "804-285-8290",
            "fax_number": "804-285-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 PATTERSON AVE",
            "address_2": "STE C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296755",
            "telephone_number": "804-285-8290",
            "fax_number": "804-285-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JENNIFER",
        "middle_name": "TRIDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara R Rockwell
• Adrian Rodriguez
• Jodie Rodriguez
• Raquel Rodriguez
• Lakesha Delrae Roney, M.ED.
• Jeremy A. Ross, MD
• Aaron Rowe, LCSW
• Royal Medical Transportation
• April Lynn C Ruiz, PT, DPT
• Jason Nathaniel Runion

• General Practice Dentistry in Henrico, VA
• Providers in Henrico, VA by specialty
• General Practice Dentistry in Virginia

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

Verify at the official NPI Registry.