Individual provider Active NPI

Rodger James Droel, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New Brighton, MN
National Provider Identifier
1407968480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7411 Issued in MN
Practice address
2451 15TH St NW
New Brighton, MN 55112-5592
Phone
(651) 633-8191
Fax
(651) 633-5554
NPI assigned
Aug 31, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3768 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7411 MN Primary

Addresses

Primary practice location

2451 15TH St NW
New Brighton, MN 55112-5592

Mailing address

2290 Kipling St
Lakewood, CO 80215-1578
Phone (303) 232-3737

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
3768COMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407968480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151578",
            "telephone_number": "303-232-3737",
            "fax_number": "303-232-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 15TH ST NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125592",
            "telephone_number": "651-633-8191",
            "fax_number": "651-633-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROEL",
        "first_name": "RODGER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "3768",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

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.