Keith C Rogerson, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2517 Issued in NH

Practice address

16 Airport Rd
West Lebanon, NH 03784-1681

Phone

(603) 298-7557

Fax

(888) 857-3155

NPI assigned

Mar 21, 2006

Last updated

Mar 7, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prime Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • West Lebanon, NH
  • NPI 1740887876
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1184683906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AIRPORT RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841681",
            "telephone_number": "603-298-7557",
            "fax_number": "888-857-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AIRPORT RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841681",
            "telephone_number": "603-298-7557",
            "fax_number": "888-857-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERSON",
        "first_name": "KEITH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilley Richards
• Abigail Christine Ridley
• Melissa Ring
• Devon Roberts
• Rockpoint Pharmacy LLC
• David Michael Ross, PHARMD
• Justin Salls
• Crystal Santom
• Adrienne Sass
• Amy Saw

• Oral and Maxillofacial Surgery (Dentist) in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.