David L Roth, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

7895 Issued in MT

Practice address

350 Heritage Way
#2100
Kalispell, MT 59901-3158

Phone

(406) 257-8992

Fax

(406) 257-8996

NPI assigned

Jun 8, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Glacier Regional Pathology, LTD.

  • Anatomic Pathology Physician
  • Kalispell, MT
  • NPI 1619081767
  NPD
• Kalispell Regional Medical Center Inc

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  NPD
• Jon J Johnson MD PC

  • Cardiovascular Disease Physician
  • Kalispell, MT
  • NPI 1427252733
  NPD (past)
• Northwest Montana Pulmonary Physicians PC

  • Pulmonary Disease Physician
  • Kalispell, MT
  • NPI 1205918992
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1477593085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HERITAGE WAY",
            "address_2": "#2100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013158",
            "telephone_number": "406-257-8992",
            "fax_number": "406-257-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HERITAGE WAY",
            "address_2": "#2100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013158",
            "telephone_number": "406-257-8992",
            "fax_number": "406-257-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "7895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36218",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "593",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M011000969",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Rosenberg, LCPC
• Teagan Rosendahl, LCSW
• Juliana Gail Ross Thompson, PA-C, ATC
• Bennie Joseph Rossetto, MD
• Christopher S Rost, PA-C
• Terry L Roth, R.PH.
• James P Rougle, DO
• Jason Reuben Rountree, D.C.
• Brad A Roy, PH.D.
• Susan C Rucinski, PT

• Cardiovascular Disease Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Cardiovascular Disease Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.