NPIMap

Organization Active NPI

Michael J Roscher DDS, PA

  • Dental Clinic/Center
  • Newport, MN
National Provider Identifier
1104906379
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
MN8121 Issued in MN
Legal business name
MICHAEL J ROSCHER DDS, PA
Practice address
1590 Hastings Ave
Newport, MN 55055-1646
Phone
(651) 459-2387
Fax
(651) 459-3259
NPI assigned
Oct 16, 2006
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Michael Jay Roscher, DDSNPI 1699764126
Title
Owner
Phone
(651) 459-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X MN8121 MN Primary

Addresses

Primary practice location

1590 Hastings Ave
Newport, MN 55055-1646

Mailing address

1590 Hastings Ave
Newport, MN 55055-1646
Phone (651) 459-2387

National Provider Directory

National Provider Directory

Locations

1590 Hastings Ave
Newport, MN 55055
Phone (651) 459-2387

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1104906379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 HASTINGS AVE",
            "city": "NEWPORT",
            "state": "MN",
            "postal_code": "550551646",
            "telephone_number": "651-459-2387",
            "fax_number": "651-459-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 HASTINGS AVE",
            "city": "NEWPORT",
            "state": "MN",
            "postal_code": "550551646",
            "telephone_number": "651-459-2387",
            "fax_number": "651-459-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J ROSCHER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "ROSCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-459-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "MN8121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.