C. Bradford Rogers, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

17746 Issued in MA

Practice address

25 Railroad Ave
Swampscott, MA 01907-1839

Phone

(781) 596-2477

NPI assigned

Feb 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DRS. Rogers & Rogers, PC

  • Dental Clinic/Center
  • Swampscott, MA
  • NPI 1588803803
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1346489556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RAILROAD AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071839",
            "telephone_number": "781-596-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RAILROAD AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071839",
            "telephone_number": "781-596-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "C.",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISENCE",
            "identifier": "17746",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ansar Qureshi
• Gary M Reiser, DDS
• Reliable Hands
• Jonathan Addison Resnic
• Amanda Rae Ritvo, M.D.
• Dara Kronick Rogers, DMD
• Kerwyn A Ross, DPT
• R. Louis Rotondo, DPM
• Stacy Rubtchinsky, M.D.
• Ramon Ruiz, PH.D.

• Dentist in Swampscott, MA
• Providers in Swampscott, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.