Darren McKay Rodabough, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2003029849 Issued in MO

Practice address

3006 Highway K
O Fallon, MO 63368-8675

Phone

(636) 978-8848

Fax

(636) 978-0240

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bankhead Alton Orthodontics PC

  dba Heintz and Bankhead Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carlinville, IL
  • NPI 1386276038
  NPD
• Bankhead Alton Orthodontics PC

  dba Heintz and Bankhead Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alton, IL
  • NPI 1740812494
  NPD
• Wentzville Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
  • NPI 1356465629
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1447434048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLAZING STAR CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633689724",
            "telephone_number": "636-272-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688675",
            "telephone_number": "636-978-8848",
            "fax_number": "636-978-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODABOUGH",
        "first_name": "DARREN",
        "middle_name": "MCKAY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2003029849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Rocco, DPT
• Theresa A Roche, MSW,LCSW
• Meagan Rodenberg, OTR/L
• Shannon Raye Roderique, LPTA
• Emma Taylor Rodgers
• Melissa Roewe, DO
• Caitlin Sue Rogers, DO

• Orthodontics and Dentofacial Orthopedics Dentistry in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.