Individual provider Active NPI

Emily Rockne, DMD

  • Pediatric Dentistry
  • Helena, MT
National Provider Identifier
1457615494
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2016006247 Issued in MO
Practice address
3116 Saddle Dr Ste 1
Helena, MT 59601-8645
NPI assigned
Jun 25, 2012
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2016006247 MO Primary

Addresses

Primary practice location

3116 Saddle Dr Ste 1
Helena, MT 59601-8645

Mailing address

3116 Saddle Dr Ste 1
Helena, MT 59601-8645
Phone (406) 449-0189

Other practice location 1

5183 Hinkleville Rd
Paducah, KY 42001
Phone (270) 415-9006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 21, 2022 through Dec 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2016006247MOMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
David J, Elrod, DMD. a Professional Service Corporation Past Accepting new patients

Organizations & group practices 1

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1457615494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 SADDLE DR STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018645",
            "telephone_number": "406-449-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 SADDLE DR STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5183 Hinkleville Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "42001",
            "country_code": "US",
            "telephone_number": "270-415-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKNE",
        "first_name": "EMILY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2016006247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.