Robert Podmore Rogers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30145 Issued in CA

Practice address

764 Grayson Rd Ste B
Pleasant Hill, CA 94523-2686

Phone

(925) 939-6100

Fax

(925) 939-6122

NPI assigned

Dec 18, 2006

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

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376606764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 REDWOOD RD",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471338",
            "telephone_number": "510-799-4901",
            "fax_number": "925-939-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 GRAYSON RD STE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232686",
            "telephone_number": "925-939-6100",
            "fax_number": "925-939-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ROBERT",
        "middle_name": "PODMORE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "G9262301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Joy Rodriguez, MS, RD, LD
• Camille Denise Rodriguez, ACSW
• Jose Luis Rodriguez, B.A.
• Rosemarie Rodriguez
• Roger W. Shortz, MD a Professional Corporation (BaySpine Medical Associates)
• Amber Romano, DC
• Mary Cruz Romo
• Doug Ronning, M.F.T., R.D.T.
• Rose Joy Endonila DDS,Professional Dental Corporation (Rose Joy Endonila,DDS)
• Rosen Internal Medicine a Professional Corporation (Rosen Personalized Medicine)

• General Practice Dentistry in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.