Individual provider Active NPI

Molly Susan Rosebush, DDS, MS

  • Oral and Maxillofacial Pathology Dentistry
  • New Orleans, LA
National Provider Identifier
1992835060
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
P-143 Issued in LA
Practice address
1100 Florida Ave
New Orleans, LA 70119-2714
Phone
(504) 619-8721
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 8853 TN
Oral and Maxillofacial Pathology Dentistry 1223P0106X P-143 LA Primary

Addresses

Primary practice location

1100 Florida Ave
New Orleans, LA 70119-2714

Mailing address

1100 Florida Ave
New Orleans, LA 70119-2714
Phone (504) 619-8721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20140425000621 LA Practitioner - Oral Surgery 8527291640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Michigan School of Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsu Health Sciences Center Lsu Faculty Dental PracticeGroup PAC ID 0840230694, 2 clinicians

Practice addresses (Care Compare)

1100 Florida Ave
New Orleans, LA 70119-2715
Phone (504) 619-8721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P-143LAMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 1, 2020 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 1, 2020 Accepting new patients
Lsu Health Sciences Center Lsu Faculty Dental Practice Oral and Maxillofacial Pathology CurrentSince Nov 2, 2013 Accepting new patients

Locations

1100 Florida Ave
#131
New Orleans, LA 70119
Phone (504) 619-8620

1100 Florida Ave
Ste 131
New Orleans, LA 70119

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1100 Florida Ave
New Orleans, LA 70119
Phone (504) 619-8700

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1992835060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192714",
            "telephone_number": "504-619-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192714",
            "telephone_number": "504-619-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBUSH",
        "first_name": "MOLLY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TN",
            "license": "8853",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "LA",
            "license": "P-143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.