Active NPI
Robert Dean Rock, DDS
- General Practice Dentistry
- McChord, WA
National Provider Identifier
1366432171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16872
- Practice address
- 527 Barnes Blvd
McChord Air Forse Base Dental Clinic
McChord, WA 98438 - Phone
- (253) 982-5505
- Fax
- (315) 772-9692
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16872 | TX | Primary |
Addresses
Primary practice location
527 Barnes Blvd
McChord Air Forse Base Dental Clinic
McChord, WA 98438
Mailing address
Lincoln Street, BLDG #9900, 2ND Floor
USA Dentac Joint Base Lewis-McChord
Tacoma, WA 98431
Phone (253) 968-4032
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16872 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1366432171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LINCOLN STREET, BLDG #9900, 2ND FLOOR",
"address_2": "USA DENTAC JOINT BASE LEWIS-MCCHORD",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-4032",
"fax_number": "315-772-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 BARNES BLVD",
"address_2": "MCCHORD AIR FORSE BASE DENTAL CLINIC",
"city": "MCCHORD",
"state": "WA",
"postal_code": "98438",
"telephone_number": "253-982-5505",
"fax_number": "315-772-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "ROBERT",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "16872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.