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DR. ENRIQUE E ROSADO DMD
NPI 1770544553
Dentist - Periodontics in Nellis Afb, NV

Active since March 31, 2006Opted out of Medicare · through Dec 14, 2026
4700 LAS VEGAS BLVD. BLDG. 1300, NELLIS AFB, NV 89191(702) 653-2600 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Enrique E Rosado Dmd NPPES

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

DR. ENRIQUE E ROSADO DMD (NPI 1770544553) is an individual periodontics provider in Nellis Afb, Nevada, licensed in Colorado (10375) and active in the NPI registry since March 2006. He has opted out of Medicare through December 14, 2026.

NPPES Registry Identity

NPI1770544553
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ENRIQUE E ROSADOCredential: DMD
Location Address4700 LAS VEGAS BLVD. BLDG. 1300Nellis Afb, NV 89191
Mailing Address4700 Las Vegas Blvd. Bldg. 1300Nellis Afb, NV 89191 · (702) 653-2600
Phone(702) 653-2600
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 5, 2014
✔ NPI 1770544553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CO · 10375
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4700 LAS VEGAS BLVD. BLDG. 1300, Nellis Afb, NV 89191
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Enrique E Rosado Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2020 through December 14, 2026.

Opt-Out Effective DateDecember 14, 2020
Opt-Out In Effect ThroughDecember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Enrique Rosado's NPI number?

The NPI number for Enrique Rosado is 1770544553. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Enrique Rosado located?

Enrique Rosado practices at 4700 Las Vegas Blvd. Bldg. 1300, Nellis Afb, NV 89191. The listed phone number is (702) 653-2600.

What is Enrique Rosado's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Enrique Rosado enrolled in Medicare?

No. Enrique Rosado has opted out of Medicare through December 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Enrique Rosado was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.