DR. KELLY S ROSE DDS
NPI 1932167145
Dentist - Pediatric Dentistry in Buffalo, NY

Active since May 04, 2006PECOS Enrolled
1100 MAIN ST, BUFFALO, NY 14209(716) 242-8200 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelly S Rose Dds NPPES

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

DR. KELLY S ROSE DDS (NPI 1932167145) is an individual pediatric dentistry provider in Buffalo, New York, licensed in New York (050914) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932167145
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KELLY S ROSECredential: DDS
Location Address1100 MAIN STBuffalo, NY 14209-2308
Mailing Address1100 Main StBuffalo, NY 14209-2308 · (716) 242-8200
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 11, 2012
NPI 1932167145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 050914
Definition

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.

1100 MAIN ST, Buffalo, NY 14209

Other Identifiers 1

Medicaid03376083NY

Accepted 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. Kelly S 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 14209 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 9

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

Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932167145, enumerated as an "individual" on May 04, 2006.

The provider is located at 1100 MAIN ST BUFFALO, NY 14209 and the phone number is (716) 242-8200.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.