Jay M Rossell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1822 Issued in ND

Practice address

221 Third Street West
12TH Medical Group
Randolph AFB, TX 78150-4801

Phone

(210) 652-1846

NPI assigned

Oct 3, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982691267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 SPARTAN TER",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482622",
            "telephone_number": "210-659-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 THIRD STREET WEST",
            "address_2": "12TH MEDICAL GROUP",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "781504801",
            "telephone_number": "210-652-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSELL",
        "first_name": "JAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Pohl, PA-C
• Michael Prater
• Manoj Ravi, MD
• Jesse Wayne Richardson, MSPT
• Rocio Fabiola Rodriguez, LCSW
• San Antonio Vamc
• Phillip R. Sandefur, DDS
• Ronny Michael Simmons, DDS
• Theresa B. Sparkman, M.D.
• Steven Robert Stanek, O.D.

• General Practice Dentistry in Randolph AFB, TX
• Providers in Randolph AFB, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.