Individual provider Active NPI

John Roshto, DDS

  • Dentist
  • Greenwell Springs, LA
National Provider Identifier
1275945420
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6486 Issued in LA
Practice address
16606 Greenwell Springs Rd
Greenwell Springs, LA 70739-4128
Phone
(225) 262-4150
NPI assigned
May 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6486 LA Primary

Addresses

Primary practice location

16606 Greenwell Springs Rd
Greenwell Springs, LA 70739-4128

Mailing address

16606 Greenwell Springs Rd Ste B
Greenwell Springs, LA 70739-4128
Phone (225) 262-4150

Other practice location 1

10713 N Oak Hills Pkwy
Suite B
Baton Rouge, LA 70810-2967
Phone (225) 767-5300

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
6486LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Dental of Central, LLC PastSince Oct 6, 2024 Accepting new patients
John T Roshto DDS LLC Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1275945420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16606 GREENWELL SPRINGS RD STE B",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394128",
            "telephone_number": "225-262-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16606 GREENWELL SPRINGS RD",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394128",
            "telephone_number": "225-262-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10713 N Oak Hills Pkwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102967",
            "country_code": "US",
            "telephone_number": "225-767-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSHTO",
        "first_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwell Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.