Active NPI
Patrick James Rooney, D.D.S.
- General Practice Dentistry
- Blaine, WA
National Provider Identifier
1245329283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00007541
- Practice address
- 215 Marine Dr #1
215 Marine Dr. #1
Blaine, WA 98230-4036 - Phone
- (360) 332-2400
- Fax
- (360) 332-7161
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00007541 | WA | Primary |
Addresses
Primary practice location
215 Marine Dr #1
215 Marine Dr. #1
Blaine, WA 98230-4036
Mailing address
215 Marine Dr
215 Marine Dr. #1
Blaine, WA 98230-4036
Phone (360) 332-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5028790 | Medicaid | WA | |
| R07541 | Other | WA | REGENCE BLUE SHEILD |
| 975913 | Other | WA | UNITED CONCORDIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00007541 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick Rooney D.D.S. P.S. | 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.
-
- Dentist
- Blaine, WA
- NPI 1083884191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245329283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MARINE DR",
"address_2": "215 MARINE DR. #1",
"city": "BLAINE",
"state": "WA",
"postal_code": "982304036",
"telephone_number": "360-332-2400",
"fax_number": "360-332-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MARINE DR #1",
"address_2": "215 MARINE DR. #1",
"city": "BLAINE",
"state": "WA",
"postal_code": "982304036",
"telephone_number": "360-332-2400",
"fax_number": "360-332-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROONEY",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00007541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5028790",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHEILD",
"identifier": "R07541",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "975913",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.