Jerry G. Rothrock

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038230 Issued in NY

Legal business name

JERRY G. ROTHROCK

Practice address

653 Old Liverpool Rd
Liverpool, NY 13088-6032

Phone

(315) 457-4054

Fax

(315) 453-8059

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Jerry RothrockNPI 1639261787

Title

Owner

Phone

(315) 457-4054

Specialties & licenses 1

Addresses

Other names 1

• LIVERPOOL DENTAL CENTER Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry G Rothrock, D.D.S.

  • General Practice Dentistry
  • Liverpool, NY
  • NPI 1639261787
  NPD (past) Authorized official
• Thomas M Rothrock, D.D.S.

  • General Practice Dentistry
  • Liverpool, NY
  • NPI 1659463719
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215029384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 OLD LIVERPOOL RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886032",
            "telephone_number": "315-457-4054",
            "fax_number": "315-453-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 OLD LIVERPOOL RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886032",
            "telephone_number": "315-457-4054",
            "fax_number": "315-453-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY G. ROTHROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-457-4054"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVERPOOL DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kahsenniiostha Jacobs
• Jana Dosztan-Reiss, Inc.
• James Hyuk-Jae Jang, D.D.S.
• Christa M Jeavons, FNP
• Jennifer a. Crider, LCSW, PLLC
• Carrie Jessen
• Kathryn L Jewell, LCSW
• Joan C Laura DDS PC
• Jennifer Johansson, PA-C
• John R. Wanamaker, MD PC

• General Practice Dentistry in Liverpool, NY
• Providers in Liverpool, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.