Paul Nicholas Rogers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

KS5511 Issued in KS

Practice address

1939 N 11TH St
Arkansas City, KS 67005-1724

Phone

(620) 442-5660

Fax

(620) 442-5682

NPI assigned

Jun 23, 2005

Last updated

Jan 22, 2015By the provider in NPPES

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

Other identifiers 3

Other names 1

• Nick Rogers Other name

Medicare fee-for-service enrollment

Enrolled in KS

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rogers Family Dentistry PA

  • General Practice Dentistry
  • Arkansas City, KS
  • NPI 1871698423
  NPD (past) Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1487650511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 N 11TH ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051724",
            "telephone_number": "620-442-5660",
            "fax_number": "620-442-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 N 11TH ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051724",
            "telephone_number": "620-442-5660",
            "fax_number": "620-442-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PAUL",
        "middle_name": "NICHOLAS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS5511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "008982",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221560A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "480951021",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "ROGERS",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renal Care Group of the Midwest, Inc. (Renal Care Group Arkansas City)
• Rod D Stoy
• Luis B Rodriguez, CRNA
• Rogers Family Dentistry PA
• Nicole M Rogers, D.D.S.
• Scott N Rogers, D.D.S.
• Cora Elizabeth Ruhl, MD
• David A Schmeidler, M.D.
• Debra K Schrag, P.A.
• Michael R Schumacher, PA

• General Practice Dentistry in Arkansas City, KS
• Providers in Arkansas City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.