Active NPI
Richard Lee Rogers, D.D.S.
- General Practice Dentistry
- Frederick, MD
National Provider Identifier
1073732210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10451
- Practice address
- 2100 Old Farm Dr
Suite1F
Frederick, MD 21702-9494 - Phone
- (301) 663-1700
- Fax
- (301) 696-2837
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10451 | MD | Primary |
Addresses
Primary practice location
2100 Old Farm Dr
Suite1F
Frederick, MD 21702-9494
Mailing address
2100 Old Farm Dr
Suite 1-F
Frederick, MD 21702-9494
Phone (301) 663-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521906109 | Other | MD | TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10451 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard L Rogers DDS PA | Current | Accepting new patients | |
| Richard L Rogers DDS PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2100 Old Farm Dr
Ste 1F
Frederick, MD 21702
Phone (301) 663-1700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Yellow Springs Dental
- Durable Medical Equipment & Medical Supplies
- Frederick, MD
- NPI 1881359370
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1073732210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 OLD FARM DR",
"address_2": "SUITE 1-F",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217029494",
"telephone_number": "301-663-1700",
"fax_number": "301-696-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 OLD FARM DR",
"address_2": "SUITE1F",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217029494",
"telephone_number": "301-663-1700",
"fax_number": "301-696-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "10451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "521906109",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.