Stuart Alan Rockwell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR2729 Issued in AR

Practice address

3101 Oak Grove Rd
Poplar Bluff, MO 63901

Phone

(573) 785-7071

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rockwell Dental

  • General Practice Dentistry
  • Poplar Bluff, MO
  • NPI 1568885762
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1063436681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HERSCHEL BESS BLVD STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013073",
            "telephone_number": "573-785-7071",
            "fax_number": "573-785-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OAK GROVE RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-785-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Herschel Bess Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013073",
            "country_code": "US",
            "telephone_number": "573-785-7071",
            "fax_number": "573-785-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "STUART",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR2729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113250608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402553309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Robertson, RPH
• James W Robinett Jr.
• Dale Howard Robinson Sr., M.A, LPC
• Sandra Michelle Robison
• Rockwell Dental
• Cheryl Rodery, FNP
• Patricia Louise Rodgers, M.A.CCC-SLP
• Felipe A. Rojas
• Tyler Shane Romanowski
• Angela Dawn Rommel

• General Practice Dentistry in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.