Organization Active NPI

Dennis M Rogers D.D.S., P.C.

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1386005668
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENNIS M ROGERS D.D.S., P.C.
Practice address
20429 W 7 Mile Rd
Detroit, MI 48219-3408
Phone
(313) 533-4333
Fax
(313) 533-2706
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Dennis Marvel Rogers, D.D.S.
Title
Dentist
Phone
(313) 533-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

20429 W 7 Mile Rd
Detroit, MI 48219-3408

Mailing address

20429 W 7 Mile Rd
Detroit, MI 48219-3408
Phone (313) 533-4333

Other identifiers 1

IdentifierTypeStateIssuer
1758961MedicaidMI

National Provider Directory

National Provider Directory

Locations

20429 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 533-4333

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1386005668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20429 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193408",
            "telephone_number": "313-533-4333",
            "fax_number": "313-533-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20429 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193408",
            "telephone_number": "313-533-4333",
            "fax_number": "313-533-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M ROGERS D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MARVEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-533-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758961",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.