Rogers Dental Center P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9395 Issued in MN

Legal business name

ROGERS DENTAL CENTER P.A.

Practice address

21410 136TH Ave North Suite #109
Rogers, MN 55374

Phone

(763) 428-2217

Fax

(763) 428-8586

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Shana Elizabeth McVeigh Heisler, DDSNPI 1750452157

Title

President

Phone

(763) 428-2217

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shana Elizabeth McVeigh Heisler

  • Dentist
  • Rogers, MN
  • NPI 1750452157
  NPD (past) Authorized official
• Matthew Patrick Dale, DDS

  • General Practice Dentistry
  • Rogers, MN
  • NPI 1003028861
  NPD (past)
• Jeffrey Alan Smith, D.D.S.

  • Dentist
  • Rogers, MN
  • NPI 1710058128
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1386715704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21410 136TH AVE NORTH SUITE #109",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "55374",
            "telephone_number": "763-428-2217",
            "fax_number": "763-428-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21410 136TH AVE NORTH SUITE #109",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "55374",
            "telephone_number": "763-428-2217",
            "fax_number": "763-428-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS DENTAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "ELIZABETH MCVEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-428-2217",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Shannon Richter, DC
• Angela Jo Rickheim
• Magnolia Robinson
• Kelsey Rodgers
• Rogers Chiropractic PA
• Rogers Drug and Grocery
• Rogers Minnesota Orthodontics PLLC
• Peter Hawley Rogers III, D.O.
• Christopher John Roghair, O.D.
• Corinne Romitti

• General Practice Dentistry in Rogers, MN
• Providers in Rogers, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.