John Jeremy Rothrauff, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

21581 Issued in OH

Practice address

20 E McKinley Way
Poland, OH 44514-2071

Phone

(330) 757-7713

Fax

(330) 757-7715

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John J. Rothrauff, D.D.S., Inc.

  • General Practice Dentistry
  • Youngstown, OH
  • NPI 1407569676
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1427155753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MCKINLEY WAY",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142071",
            "telephone_number": "330-757-7713",
            "fax_number": "330-757-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MCKINLEY WAY",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142071",
            "telephone_number": "330-757-7713",
            "fax_number": "330-757-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHRAUFF",
        "first_name": "JOHN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2414248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Ripple
• Steven Doyce Robbins, MD
• Amanda L. Roeder, APRN
• William Joseph Rogers, CNP
• Daniel Romeo
• Amber Roushia
• Prakash N Roy, M.D.
• Cathy Ann Rozzi, RPH
• Nino C Rubino, MD
• Amanda Elyse Rudnicki, CNP

• Dentist in Poland, OH
• Providers in Poland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.