Phillip Roe, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D010253 Issued in AZ

Practice address

3133 W Frye Rd Ste 102
Chandler, AZ 85226-5132

Phone

(480) 542-5617

Fax

(480) 542-5618

NPI assigned

Oct 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1063609295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 W FRYE RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265132",
            "telephone_number": "480-542-5617",
            "fax_number": "480-542-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W FRYE RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265132",
            "telephone_number": "480-542-5617",
            "fax_number": "480-542-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "00009710",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "52776",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "D010253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelei Brooke Rodriguez
• Nicholas Rodriguez, PA-C
• Rocio Rodriguez
• Shameka Uzell Rodriguez
• Erlinda T Rodriquez, MD
• Raymond Philip Roffi, M.D.
• Roger J Dulvick DDS PC
• Ashley Rogers
• Jenifer Lynn Rogers, RN
• Kristen Rogers

• Prosthodontics in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.