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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: August 09, 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
Phone(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
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Other Identifiers 1

Medicaid03376083NY

Accepted Insurance

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

DR. TAMMY LYNNE THOMPSON DDS
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 650-7095
DR. ELLY HOSSEINI DMD
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
DR. SUKETU PATEL DDS
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
DR. LISA MARIE MRUZ D.D.S
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
DR. MARGARET A CERTO D.D.S.
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
ALISHA ANDRASHEWSKI DDS
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
DR. AMY STONE NAGAI D.D.S.
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
DR. PRABHDEEP KAUR CHAHAL D.M.D.
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Erie County (716) 829-3717

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 Kelly Rose's NPI number?

The NPI number for Kelly Rose is 1932167145. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kelly Rose located?

Kelly Rose practices at 1100 Main St, Buffalo, NY 14209. The listed phone number is (716) 242-8200.

What is Kelly Rose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kelly Rose enrolled in Medicare?

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

What insurance does Kelly Rose accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Kelly 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 Kelly Rose was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.