Robert Peter Rodelsperger, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

4619 Issued in SC

Practice address

53 Windermere Blvd
Charleston, SC 29407-7411

Phone

(843) 225-0111

NPI assigned

Jul 14, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert Rodelsperger DMD PA

  • Dentist
  • Holly Hill, SC
  • NPI 1215208822
  NPD (past) Authorized official
• Bridge Dental LLC

  • General Practice Dentistry
  • Charleston, SC
  • NPI 1598099947
  NPD (past)
• Pratt Dental, LLC

  • Dental Clinic/Center
  • Charleston, SC
  • NPI 1811587488
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1447489265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WINDERMERE BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077411",
            "telephone_number": "843-225-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 WINDERMERE BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077411",
            "telephone_number": "843-225-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODELSPERGER",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Rock, PT, DPT
• Courtney Michelle Rockett, PA-C
• Don C Rockey, MD
• Ashley Rocks
• George Edward Rodelsperger Jr., M.D.
• Deborah B Rodes, D.O.
• Julia Wilson Rodes, MD
• Amy Marie Rodgers, RN
• Erin Grevey Rodgers, CAA
• Megan Dawn Rodgers, MD

• Dentist in Charleston, SC
• Providers in Charleston, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.