Individual provider Active NPI

Kristina Rogozhkina, DDS

  • Dentist
  • Lakewood, CO
National Provider Identifier
1295264752
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
205186 Issued in CO
Practice address
2599 Wadsworth Blvd Ste 3
Lakewood, CO 80214-5640
Phone
(303) 421-4820
Fax
(303) 421-4822
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 205186 CO Primary

Addresses

Primary practice location

2599 Wadsworth Blvd Ste 3
Lakewood, CO 80214-5640

Mailing address

2599 Wadsworth Blvd Ste 3
Lakewood, CO 80214-5640
Phone (303) 421-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20260220001106 CO Practitioner - Dentist 3375024136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Oklahoma College of Dentistry, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2599 Wadsworth Blvd
Suite 3
Lakewood, CO 80214-5640
Phone (303) 529-6303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205186COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Snoreix PLLC General Practice CurrentSince Jul 26, 2025 Accepting new patients
Perfect Teeth / Erie P.C General Practice PastSince Jan 1, 2023 Accepting new patients

Locations

2599 Wadsworth Blvd
Ste 3
Lakewood, CO 80214
Phone (303) 421-4820

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1295264752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 WADSWORTH BLVD STE 3",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145640",
            "telephone_number": "303-421-4820",
            "fax_number": "303-421-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2599 WADSWORTH BLVD STE 3",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145640",
            "telephone_number": "303-421-4820",
            "fax_number": "303-421-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOZHKINA",
        "first_name": "KRISTINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "205186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.