Jerry Jason Rotella, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17966 Issued in OH

Practice address

8974 Columbia Rd
Loveland, OH 45140-1114

Phone

(513) 683-5405

Fax

(513) 683-0405

NPI assigned

Mar 13, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Jerry Rotella D.D.S., Inc.

  • General Practice Dentistry
  • Loveland, OH
  • NPI 1619000163
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487787925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 COLUMBIA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401114",
            "telephone_number": "513-683-5405",
            "fax_number": "513-683-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 COLUMBIA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401114",
            "telephone_number": "513-683-5405",
            "fax_number": "513-683-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTELLA",
        "first_name": "JERRY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE NUMB",
            "identifier": "17966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Moeller DDS Mark E Gerome DDS Inc
• Rhea Robertson
• Monica Lynne Roebuck, PTA
• Debra L Rogers-Roel
• Jenna Rost
• Katherine Rouse, LPC
• Cheryl A Rowane
• Donna D Rubennbauer, INDEPENDENT PROVIDER
• S.M.I.L.E.S. Integrative Therapy Services, LLC
• Sabra Deerfield Operations, LLC

• General Practice Dentistry in Loveland, OH
• Providers in Loveland, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.