B. Ronald Rommel, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12463 Issued in MO

Legal business name

B. RONALD ROMMEL, DDS, PC

Practice address

5601 NE Antioch Rd
Suite 5
Gladstone, MO 64119-2300

Phone

(816) 455-1200

Fax

(816) 455-1021

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Billy Ronald Rommel, DDS

Title

President/Dentist

Phone

(816) 455-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1467773754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "SUITE 5",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300",
            "telephone_number": "816-455-1200",
            "fax_number": "816-455-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "SUITE 5",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300",
            "telephone_number": "816-455-1200",
            "fax_number": "816-455-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. RONALD ROMMEL, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "ROMMEL",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "816-455-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Gladstone, MO
• Providers in Gladstone, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.