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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TOMMY ROSE DDS
NPI 1003806191
Dentist in Kansas City, KS

Active since October 28, 2005PECOS Enrolled
753 STATE AVE, STE 402, KANSAS CITY, KS 66101(913) 321-3999(913) 321-5766 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tommy Rose Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOMMY ROSE DDS (NPI 1003806191) is an individual dentist in Kansas City, Kansas, licensed in Kansas (6742) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003806191
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TOMMY ROSECredential: DDS
Location Address753 STATE AVE, STE 402Kansas City, KS 66101-2516
Mailing Address753 State Ave, Ste 402Kansas City, KS 66101-2516 · (913) 321-3999 · Fax (913) 321-5766
Phone(913) 321-3999
Fax(913) 321-5766
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003806191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KS · 6742
Definition
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.
753 STATE AVE, Kansas City, KS 66101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Kansas, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tommy Rose Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KANSAS CITY KANSAS DENTAL PROFESSIONALS PA
Clinic/Center (Dental)
753 STATE AVE
KANSAS CITY, KS 66101
Wyandotte County (913) 321-4385
MORENO FAMILY DENTISTRY
Dentist
753 STATE AVE, STE 375
KANSAS CITY, KS 66101
Wyandotte County (913) 647-1900
KANSAS CITY KANSAS DENTAL ASSOCIATES PA
Dentist (General Practice)
753 STATE AVE, STE 665
KANSAS CITY, KS 66101
Wyandotte County (913) 321-4385
MRS. STEPHANIE LYNN PRUSA DENTAL HYGIENIST
Dental Hygienist
753 STATE AVE
KANSAS CITY, KS 66101
Wyandotte County (913) 321-4385
PAYNE, HOGAN & ASSOCIATES
Social Worker (Clinical)
753 STATE AVE, SUITE 660
KANSAS CITY, KS 66101
Wyandotte County (913) 244-8443
JACQUELINE ANITA HOGAN LSCSW,LCSW
Social Worker (Clinical)
753 STATE AVE, SUITE 660
KANSAS CITY, KS 66101
Wyandotte County (913) 244-8443
DR. MIRALDA G MORENO DDS
Dentist
753 STATE AVE, SUITE 375
KANSAS CITY, KS 66101
Wyandotte County (913) 647-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tommy Rose's NPI number?

The NPI number for Tommy Rose is 1003806191. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Tommy Rose located?

Tommy Rose practices at 753 State Ave Ste 402, Kansas City, KS 66101. The listed phone number is (913) 321-3999.

What is Tommy Rose's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tommy Rose enrolled in Medicare?

Yes. Tommy Rose is registered in the Medicare PECOS enrollment system.

What insurance does Tommy Rose accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Tommy Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tommy Rose was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.