Individual provider Active NPI

Billy Ronald Rommel, DDS

  • General Practice Dentistry
  • Gladstone, MO
National Provider Identifier
1396817441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12463 Issued in MO
Practice address
5601 NE Antioch Rd
Ste 5
Gladstone, MO 64119-2302
Phone
(816) 455-1200
Fax
(816) 455-1021
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12463 MO Primary

Addresses

Primary practice location

5601 NE Antioch Rd
Ste 5
Gladstone, MO 64119-2302

Mailing address

5601 NE Antioch Rd
Ste 5
Gladstone, MO 64119-2302
Phone (816) 455-1200

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

LicenseStateTypeSpecialty
12463MOMDGeneral Practice Dentistry

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396817441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "STE 5",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192302",
            "telephone_number": "816-455-1200",
            "fax_number": "816-455-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "STE 5",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192302",
            "telephone_number": "816-455-1200",
            "fax_number": "816-455-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMMEL",
        "first_name": "BILLY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • 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.