Individual provider Active NPI

Ross Roggow, DDS

  • General Practice Dentistry
  • Thornton, CO
National Provider Identifier
1235581141
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00202912 Issued in CO
Practice address
810 E 88TH Ave Unit 140
Thornton, CO 80229-4747
Phone
(303) 653-3020
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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 00202912 CO Primary

Addresses

Primary practice location

810 E 88TH Ave Unit 140
Thornton, CO 80229-4747

Mailing address

8243 S Sicily CT
Aurora, CO 80016-7197
Phone (719) 393-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00202912COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1235581141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 S SICILY CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167197",
            "telephone_number": "719-393-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 88TH AVE UNIT 140",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294747",
            "telephone_number": "303-653-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGOW",
        "first_name": "ROSS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.