DR. PAUL TODD ROSE (NPI# 1053353334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053353334 |
| Entity Type | Individual |
| Full Name | DR. PAUL TODD ROSE |
| Credential | D.D.S. |
| Practice Address |
220 Ragland Rd Beckley WV 25801-9721 |
| Mailing Address |
4350 Grandview Rd Beaver WV 25813-9107 |
| Practice Telephone | 3042520472 |
| Practice Fax Number | 3042521890 |
| Mailing Telephone | 3042520472 |
| Mailing Fax Number | 3042521890 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
WV 3040 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0133045001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642232 | Paul Gary Rose | Contractor | N6158 Lambie Rd, De Pere, WI 54115-6705 | 2019-07-25 |
| 1356553325 | Paul Rose | Specialist | 3601 W Swann Ave, 105, Tampa, FL 33609-4547 | 2007-05-04 |
| 1871737320 | Paul L Rose Jr. | Counselor | 1155 Cherokee St, Denver, CO 80204-3632 | 2009-04-28 |
| 1386722197 | Paul Rose | Family Medicine | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
| 1619984887 | Paul D Rose | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2006-08-01 |
| 1124043971 | Paul Rose | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2006-07-13 |
| 1518921618 | Paul T Rose | Dermatology | 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 | 2006-04-14 |
| Street Address |
220 RAGLAND RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932326667 | Andrada & Rose, Inc | Dentist | 220 Ragland Rd, Beckley, WV 25801-9721 | 2007-04-20 |
| 1952346827 | Rachel Joy Andrada-rose | Dentist | 220 Ragland Rd, Beckley, WV 25801-9721 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861022733 | Erin H Branham Dds Pllc | Dentist | 225 College Pkwy Ste 201, Parkersburg, WV 26104-7655 | 2020-01-20 |
| 1154713246 | Dr. Cynthia D. Parks Dds, Pllc | Dentist | 601 Venture Dr, Suite 200, Morgantown, WV 26508-7310 | 2015-02-26 |
| 1124452644 | Katie Steele Dds Pllc, Steele Pediatric Dentistry | Dentist | 204 Kruger St Ste 1, Wheeling, WV 26003-5165 | 2013-09-03 |
| 1487948741 | Eric J Bailey | Dentist | 3659 Teays Valley Rd, Suite 100, Hurricane, WV 25526-9701 | 2011-06-04 |
| 1215127881 | Erin Hudgins Branham | Dentist | 414 Alpine St, Mineral Wells, WV 26150-3015 | 2007-07-30 |
| 1922208867 | Rebecca Johnson Kucera | Dentist | 1489 N Jefferson St, Lewisburg, WV 24901-1187 | 2007-07-19 |
| 1760501001 | Tracy L. Wilkerson, Dds, Pllc | Dentist | 1400 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
| 1639215684 | John Patrick Martin | Dentist | 3659 Teays Valley Road, Suite 100, Hurricane, WV 25526-9701 | 2007-01-29 |
| 1306912258 | Seyed Moe Momen | Dentist | 9 Chenoweth Drive, Bridgeport, WV 26330 | 2006-11-24 |
| 1386756054 | Cynthia Denise Parks | Dentist | 7000 Coomb's Farm Drive, Suite 102, Morgantown, WV 26508 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.