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DR. JONATHAN CALEB ROSSALL D.D.S.,M.M.SC.
NPI 1699802744
Dentist - Endodontics in Tyler, TX

Active since February 27, 2007PECOS Enrolled
4005 BROOKSIDE DR, TYLER, TX 75701(903) 939-3636(930) 939-1687 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Caleb Rossall D.d.s.,m.m.sc. NPPES

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

DR. JONATHAN CALEB ROSSALL D.D.S.,M.M.SC. (NPI 1699802744) is an individual endodontics provider in Tyler, Texas, licensed in Texas (22596) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699802744
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JONATHAN CALEB ROSSALLCredential: D.D.S.,M.M.SC.
Location Address4005 BROOKSIDE DRTyler, TX 75701-9425
Mailing Address4005 Brookside DrTyler, TX 75701-9425 · (903) 939-3636 · Fax (930) 939-1687
Phone(903) 939-3636
Fax(930) 939-1687
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1699802744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in TX · 22596
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4005 BROOKSIDE DR, Tyler, TX 75701
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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. Jonathan Caleb Rossall D.d.s.,m.m.sc. 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 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

DR. JAMES BRENT HERRINGTON JR. D.D.S
Dentist (Endodontics)
4005 BROOKSIDE DR
TYLER, TX 75701
Smith County (903) 939-3636

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 Jonathan Rossall's NPI number?

The NPI number for Jonathan Rossall is 1699802744. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Jonathan Rossall located?

Jonathan Rossall practices at 4005 Brookside Dr, Tyler, TX 75701. The listed phone number is (903) 939-3636.

What is Jonathan Rossall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jonathan Rossall enrolled in Medicare?

Yes. Jonathan Rossall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Rossall was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.