Individual provider Active NPI

W Curtis Rogers, D.D.S.

  • General Practice Dentistry
  • Greenfield, MO
National Provider Identifier
1184601601
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13714 Issued in MO
Practice address
162 South Allison Ave
Greenfield, MO 65661
Phone
(417) 637-5933
Fax
(417) 637-5935
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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 13714 MO Primary

Addresses

Primary practice location

162 South Allison Ave
Greenfield, MO 65661

Mailing address

P O Box 68
162 South Allison Ave
Greenfield, MO 65661-0068
Phone (417) 637-5933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150116002086 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678897899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13714MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1184601601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 68",
            "address_2": "162 SOUTH ALLISON AVE",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656610068",
            "telephone_number": "417-637-5933",
            "fax_number": "417-637-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 SOUTH ALLISON AVE",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "65661",
            "telephone_number": "417-637-5933",
            "fax_number": "417-637-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "W",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MO

Sources for this page

Verify at the official NPI Registry.