NPIMap

Organization Active NPI

Joseph a. Rossi, D.D.S., P.C.

  • General Practice Dentistry
  • Kentwood, MI
National Provider Identifier
1992802268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13853 Issued in MI
Legal business name
JOSEPH A. ROSSI, D.D.S., P.C.
Practice address
4611 N Breton CT SE
Kentwood, MI 49508-5211
Phone
(616) 656-5776
Fax
(616) 656-5765
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph A. Rossi, DDS
Title
President
Phone
(616) 656-5776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13853 MI Primary

Addresses

Primary practice location

4611 N Breton CT SE
Kentwood, MI 49508-5211

Mailing address

4611 N Breton CT SE
Kentwood, MI 49508-5211
Phone (616) 656-5776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992802268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N BRETON CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085211",
            "telephone_number": "616-656-5776",
            "fax_number": "616-656-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N BRETON CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085211",
            "telephone_number": "616-656-5776",
            "fax_number": "616-656-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. ROSSI, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-656-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.