Active NPI
Hardin Winslow Rogers III, DDS MS PA
- Dentist
- Rocky Mount, NC
National Provider Identifier
1245386028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6399
- Practice address
- 400 Peachtree Street
Rocky Mount, NC 27804 - Phone
- (252) 446-0117
- Fax
- (252) 446-2264
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6399 | NC | Primary |
| Dentist | 122300000X | 4665 | AL |
Addresses
Primary practice location
400 Peachtree Street
Rocky Mount, NC 27804
Mailing address
400 Peachtree Street
Rocky Mount, NC 27804
Phone (252) 446-0117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96875 | Other | NC | BLUE CROSS BLUE SHIELD |
| 6399 | Other | NC | NC STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4665 | AL | MD | Professional Counselor |
| 6399 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245386028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PEACHTREE STREET",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27804",
"telephone_number": "252-446-0117",
"fax_number": "252-446-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PEACHTREE STREET",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27804",
"telephone_number": "252-446-0117",
"fax_number": "252-446-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "HARDIN",
"middle_name": "WINSLOW",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS MS PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6399",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "4665",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "96875",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSE",
"identifier": "6399",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.