Roger Preston Dotsey, DMD, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

972 Issued in KY

Practice address

1106 Lyndon LN
Louisville, KY 40222-4318

Phone

(502) 254-6075

NPI assigned

Jun 14, 2013

Last updated

Oct 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Dentistree - Westport Village

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1063808608
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1245679034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 SPRINGSTEAD CV",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414423",
            "telephone_number": "270-925-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224318",
            "telephone_number": "502-254-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSEY",
        "first_name": "ROGER",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9563",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Michelle Lutz Dorsey, MS, OTR/L
• Andrea Marie Dosen, LPCC, LCPC
• Maria H. Dospil, ARNP
• Kimathi W Doss, MD
• Ryan S Doster, M.D.
• Cathy Dotson
• Katharine Jean Dotson, PT,DPT
• Katherine Dotson, M.D.
• Sonya Scott Dott, PTA
• Doub Counseling LLC

• Pediatric Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.

Verify at the official NPI Registry.