Active NPI
Rylyn Roth, DDS
- Dentist
- Bay City, MI
National Provider Identifier
1093649121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901603168
- Practice address
- 3884 Monitor Rd
Bay City, MI 48706-9298 - Phone
- (989) 922-5678
- Fax
- (833) 448-3202
- NPI assigned
- Jun 12, 2026
- Last updated
- Jun 12, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901603168 | MI | Primary |
Addresses
Primary practice location
3884 Monitor Rd
Bay City, MI 48706-9298
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260624003243 | MI | Practitioner - Dentist | 2163995879 |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Detroit Mercy School of Dentistry, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
501 Lapeer Ave
Saginaw, MI 48607-1255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1093649121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071203",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3884 MONITOR RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069298",
"telephone_number": "989-922-5678",
"fax_number": "833-448-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "RYLYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901603168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.