DR. ELIZABETH VIVIAN ROSE (NPI# 1871802934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871802934 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH VIVIAN ROSE |
| Credential | DMD |
| Practice Address |
24760 Hospital Dr. Red Lake MN 56671 |
| Mailing Address |
6110 San Marcos Dr Farmington NM 87402-1161 |
| Practice Telephone | 2186790119 |
| Mailing Telephone | 5309025139 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 59821 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090217 | Elizabeth Ann Rose | Physical Therapist | 222 Westchester Ave Ste G-02, West Harrison, NY 10604-2906 | 2019-12-11 |
| 1659674646 | Elizabeth Rose | Physical Therapist | 227 Greenwich Ave, Massapequa Park, NY 11762-1524 | 2010-12-13 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1679768485 | Elizabeth Ann Rose | Specialist | 310 E. Division St., Lemont, IL 60439 | 2007-09-14 |
| 1679608657 | Elizabeth Rose | Occupational Therapist | 3565 Austell Rd Sw, Suite 11, Marietta, GA 30008-5769 | 2007-02-22 |
| 1689729030 | Elizabeth Marie Rose | Psychologist | 310 E Burlington St, Suites 12 & 14, Iowa City, IA 52240-1668 | 2007-01-24 |
| 1760585749 | Elizabeth Cordes Rose | Psychiatry & Neurology | 5420 Arapahoe Ave Ste 1, Boulder, CO 80303-1250 | 2006-09-06 |
| 1285650523 | Elizabeth Rose | Pediatrics | 75 Claremont Rd, Suite 307, Bernardsville, NJ 07924-2262 | 2006-07-13 |
| 1912512708 | Elizabeth Rose | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-09-09 |
| 1811457286 | Elizabeth Rose | Speech-Language Pathologist | 102 Irving St Nw, Washington, DC 20010-2921 | 2019-03-22 |
| Street Address |
24760 HOSPITAL DR. |
| City | RED LAKE |
| State | MN |
| Zip Code | 56671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
| 1376026153 | Children's Healing Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 25060 Hwy 1 East, Red Lake, MN 56671 | 2018-09-08 |
| 1003332057 | Red Lake Detention Outpatient | Substance Abuse Rehabilitation Facility | 25064 Highway 1 East, Red Lake, MN 56671 | 2017-08-21 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1538445978 | Hoaibac Nguyen | Pharmacist | 24760 Hospital Rd, Red Lake, MN 56671 | 2011-10-31 |
| 1639466048 | Red Lake Comprehensive Health Services | Dental Hygienist | 24809 Hospital Drive, Highway 1, Redlake, MN 56671 | 2011-07-06 |
| 1821391822 | Jill Christine Andersen | Physical Therapist | Hwy 1 Hospital Dr. Box 497, Red Lake, MN 56671 | 2010-12-13 |
| 1225202625 | Redlake Chemical Health Program Group Home | Substance Abuse Rehabilitation Facility | 15797 Main Avenue, Redlake, MN 56671 | 2008-04-16 |
| 1104029388 | Shannon Carl Nelson | General Acute Care Hospital | Highway 1 Box 497, Red Lake, MN 56671 | 2007-06-06 |
| 1194930040 | Emcare | Clinic/Center | Phs Indian Hospital Hwy 1 Po 497, Red Lake, MN 56671 | 2007-05-14 |
| Find all providers in zip 56671 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063727402 | Chad William Fegan | Dentist | 24760 Hospital Drive, Red Lake, MN 56671 | 2010-08-10 |
| 1821135377 | Juan C Rodriguez | Dentist | 24760 Hospital Drive, Red Lake, MN 56671-0497 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| 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.