Individual provider Active NPI

Melissa J Hinze-Rogakis, D.D.S.

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1114272622
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10739 Issued in CO
Practice address
14749 W 87TH Pkwy Unit C
Arvada, CO 80005-1337
Phone
(720) 779-0088
NPI assigned
Jul 20, 2012
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10739 CO Primary

Addresses

Primary practice location

14749 W 87TH Pkwy Unit C
Arvada, CO 80005-1337

Mailing address

4740 Sedona LN
Dacono, CO 80514-8529
Phone (307) 272-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607001970 CO Order and Referring Only - DentistPractitioner - Dentist 3779873575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10739COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Reunion Dental Care, LLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1114272622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 SEDONA LN",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805148529",
            "telephone_number": "307-272-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14749 W 87TH PKWY UNIT C",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051337",
            "telephone_number": "720-779-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZE-ROGAKIS",
        "first_name": "MELISSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2023-05-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.