Active NPI
Lindsay Marie Rogers, D.D.S
- Dentist
- Missoula, MT
National Provider Identifier
1255690939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9485
- Practice address
- 3111 S Grant St
Missoula, MT 59801-8341 - Phone
- (406) 543-7532
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2141 | ND | |
| Dentist | 122300000X | 9485 | MT | Primary |
Addresses
Primary practice location
3111 S Grant St
Missoula, MT 59801-8341
Mailing address
3111 S Grant St
Missoula, MT 59801-8341
Phone (406) 543-7532
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 26, 2015 through May 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9485 | MT | MD | Dentist |
| 2141 | ND | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1255690939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 S GRANT ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018341",
"telephone_number": "406-543-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 S GRANT ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018341",
"telephone_number": "406-543-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "2141",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "9485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.