Individual provider Active NPI

Frank William Rogers, DMD

  • General Practice Dentistry
  • Peachtree City, GA
National Provider Identifier
1417689233
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122743 Issued in GA
Practice address
117 Lexington Cir
Peachtree City, GA 30269-6845
Phone
(770) 487-2363
NPI assigned
Jun 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122743 GA
General Practice Dentistry 1223G0001X DN122743 GA Primary

Addresses

Primary practice location

117 Lexington Cir
Peachtree City, GA 30269-6845

Mailing address

335 Newhaven Dr
Fayetteville, GA 30215-8612
Phone (678) 772-7709

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
DN122743GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Linton Voelker Dental General Practice CurrentSince Sep 1, 2024 Accepting new patients
Heartland Dental Care of Georgia, P.C. General Practice PastSince Apr 27, 2025 Accepting new patients
Khudsonandcbarberdmdpc General Practice PastSince Jul 1, 2022 Accepting new patients

Locations

117 Lexington Cir
Peachtree City, GA 30269
Phone (770) 487-2363

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1417689233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NEWHAVEN DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158612",
            "telephone_number": "678-772-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LEXINGTON CIR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696845",
            "telephone_number": "770-487-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "FRANK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122743",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.