Individual provider Active NPI

Jenna Rogge, DDS

  • General Practice Dentistry
  • Brattleboro, VT
National Provider Identifier
1427673243
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016.0133934 Issued in VT
Practice address
1212 Putney Rd
Brattleboro, VT 05301-5102
Phone
(802) 254-9244
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 016.0133934 VT Primary

Addresses

Primary practice location

1212 Putney Rd
Brattleboro, VT 05301-5102

Mailing address

142 Hazel Rd
Dover, DE 19901-3823
Phone (302) 359-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220415000166 NY Practitioner - Dentist 8628464864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
061610NYMDSocial Worker
016.0133934VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
True Point Dental-NH, PLLC CurrentSince Jun 14, 2020 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Mar 21, 2022 Accepting new patients
True Point Dental, PLLC CurrentSince Aug 29, 2021 Accepting new patients
Oak Orchard Community Health Center Inc. CurrentSince Mar 21, 2022 Accepting new patients

Locations

301 West Ave
Albion, NY 14411
Phone (585) 589-5613

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

1212 Putney Rd
Brattleboro, VT 05301
Phone (802) 254-9244

Organizations & group practices 4

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1427673243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HAZEL RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013823",
            "telephone_number": "302-359-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PUTNEY RD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053015102",
            "telephone_number": "802-254-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGE",
        "first_name": "JENNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0133934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.