Active NPI
Beth Lucy Rogers, DDS
- Dentist
- Fort Washington, PA
National Provider Identifier
1104083443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS029232-L
- Practice address
- 1003 Hawthorne LN
Fort Washington, PA 19034-1736 - Phone
- (215) 646-7771
- Fax
- (215) 646-7771
- NPI assigned
- May 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS029232-L | PA | Primary |
Addresses
Primary practice location
1003 Hawthorne LN
Fort Washington, PA 19034-1736
Mailing address
1003 Hawthorne LN
Fort Washington, PA 19034-1736
Phone (215) 646-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20160509000786 | PA | Order and Referring Only - Other (Physician) | 2860791100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS029232-L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1104083443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 HAWTHORNE LN",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341736",
"telephone_number": "215-646-7771",
"fax_number": "215-646-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 HAWTHORNE LN",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341736",
"telephone_number": "215-646-7771",
"fax_number": "215-646-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "BETH",
"middle_name": "LUCY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS029232-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.