Individual provider Active NPI

Rochelle Kong-Quee, DDS

  • Dentist
  • Mobile, AL
National Provider Identifier
1225713977
Registry record updated Jul 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.007225-C1 Issued in AL
Practice address
2423 Schillinger Rd S Ste 104
Mobile, AL 36695-4142
Phone
(251) 634-2345
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X D.007225-C1 AL Primary

Addresses

Primary practice location

2423 Schillinger Rd S Ste 104
Mobile, AL 36695-4142

Mailing address

2423 Schillinger Rd S Ste 104
Mobile, AL 36695-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230831003001 AL Order and Referring Only - DentistPractitioner - Dentist 4082077417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.007225-C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dental Professionals, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690588800000",
    "number": "1225713977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 SCHILLINGER RD S STE 104",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 SCHILLINGER RD S STE 104",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954142",
            "telephone_number": "251-634-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG-QUEE",
        "first_name": "ROCHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007225-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.