Individual provider Active NPI

Robert M Roggenbuck

  • Clinical Social Worker
  • Zephyrhills, FL
National Provider Identifier
1033887005
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7246 Highland Loop
Zephyrhills, FL 33541-4261
Phone
(734) 292-5867
NPI assigned
Sep 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2101694-TRNE OH
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7246 Highland Loop
Zephyrhills, FL 33541-4261

Mailing address

7246 Highland Loop
Zephyrhills, FL 33541-4261
Phone (734) 292-5867

Other practice location 1

1946 N 13th St Ste 450
Toledo, OH 43604-7257
Phone (419) 720-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2101694-TRNEOHMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1033887005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 HIGHLAND LOOP",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414261",
            "telephone_number": "734-292-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 HIGHLAND LOOP",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414261",
            "telephone_number": "734-292-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1946 N 13th St Ste 450",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436047257",
            "country_code": "US",
            "telephone_number": "419-720-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGGENBUCK",
        "first_name": "ROBERT",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2101694-TRNE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.