Keith M Rogers DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4750 Issued in AZ

Legal business name

KEITH M ROGERS DDS PC

Practice address

55 S 63Rd St
Suite 1
Mesa, AZ 85206-1605

Phone

(480) 830-5100

NPI assigned

Jun 20, 2007

Last updated

Oct 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Rogers, DDSNPI 1063553386

Title

Owner, Dentist

Phone

(480) 830-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith M Rogers, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1063553386
  Authorized official Same address or phone

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1093910739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 63RD ST",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061605",
            "telephone_number": "480-830-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 63RD ST",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061605",
            "telephone_number": "480-830-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M ROGERS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "480-830-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Keesee, LMSW
• Breena Jean Keesler, PTA
• John Kehoe, L.I.S.W.
• Kristen Marie Keil
• Keith C. Miller P.C.
• Dennis George Keith II, D.V.M.
• Kazhra Angelique Mayan Kelcho
• Renee L Kelderhouse, M.S., CCC-SLP
• Duke Keller, D.O
• Molly Johanna Keller, BS, BHPP

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.