Jeffrey A Rohrer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11528 Issued in MN

Practice address

12450 Wayzata Blvd Ste 214
Minnetonka, MN 55305-1927

Phone

(952) 545-2838

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloomington Lake Dental Clinic PA

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1861587842
  NPD (past)
• Swanson Family Dentristry PA

  • General Practice Dentistry
  • Minnetonka, MN
  • NPI 1184788614
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1124128269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 WAYZATA BLVD STE 214",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051927",
            "telephone_number": "952-545-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 WAYZATA BLVD STE 214",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051927",
            "telephone_number": "952-545-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3042 Bloomington Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071716",
            "country_code": "US",
            "telephone_number": "612-729-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra C Rodriguez, NP
• Allison A Roehl, OTD
• Dana Kathryn Roemer, LMFT
• Barbara Rogers, NP
• Katherine Rogers
• Jamie L.K. Rohwer, L.P.C.C.
• Lorraine Rokoszak, CRNP
• Rachel Hayes Rolen, FNP-BC
• Tomas Ezequiel Romano
• Sharon Romulo, NP

• General Practice Dentistry in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.

Verify at the official NPI Registry.