Todd P Roth, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5157 Issued in AL

Practice address

4282 Lomac St
Montgomery, AL 36106-3604

Phone

(334) 396-2500

Fax

(334) 396-2007

NPI assigned

Jul 27, 2006

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

Enrolled in AL

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

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477567584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 LOMAC ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 LOMAC ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063604",
            "telephone_number": "334-396-2500",
            "fax_number": "334-396-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "TODD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "5157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A. Daniell Rose, RN
• Dominik Nicole Rose
• Timothy D. Rose, D.C.
• Michael Lawrence Rosenberg, DPM
• Teresa Ross, CRNP
• Tammie Rowe, RDN
• Jenikke D Rozell, MS, ALC
• Patrick T Rucker, MD
• Izandra Patrice Rudolph-Heard
• Essence Rudolph, RD

• Endodontics in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Endodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.