Sara R Rogers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8867 Issued in KY

Practice address

112 Fairfield Hill Road
Bloomfield, KY 40008-0484

Phone

(502) 252-0056

Fax

(502) 252-0058

NPI assigned

Jun 8, 2010

Last updated

May 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Bloomfield Dental Care, PLLC

  • General Practice Dentistry
  • Bloomfield, KY
  • NPI 1437297348
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1265752638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "address_2": "112 FAIRFIELD HILL ROAD",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400080484",
            "telephone_number": "502-252-0056",
            "fax_number": "502-252-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FAIRFIELD HILL ROAD",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400080484",
            "telephone_number": "502-252-0056",
            "fax_number": "502-252-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SARA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8867",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100139410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Dawson Hendren, MD
• Jessica B Ice, PA
• Steve King, RPH
• Fredericka Creech Lockett, MD
• Amber Nicole Osborne, LCSW
• Snider Drugs Inc (Snider Drug Store)
• George Snider
• Tiffany Monita Thompson, LCSW, DSW
• Victoria's Dream, LLC

• General Practice Dentistry in Bloomfield, KY
• Providers in Bloomfield, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.