Individual provider Active NPI

Suzanne Marie Warren, RDH. BS. LAP

  • Dental Hygienist
  • Billings, MT
National Provider Identifier
1275835316
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1237 Issued in MT
Practice address
1614 Golden Blvd
Billings, MT 59102-6592
Phone
(406) 530-1402
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1237 MT Primary

Addresses

Primary practice location

1614 Golden Blvd
Billings, MT 59102-6592

Mailing address

1870 Scarlet Sage LN
Laurel, MT 59044-9317
Phone (406) 530-1402

Other names 1

  • Mrs. Suzanne Marie Rogge Former name

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

LicenseStateTypeSpecialty
1237MTMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1275835316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 SCARLET SAGE LN",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590449317",
            "telephone_number": "406-530-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 GOLDEN BLVD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026592",
            "telephone_number": "406-530-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RDH. BS. LAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "1237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "ROGGE",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RDH. BS. LAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.