Katie Elizabeth Rognlien, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6380-15 Issued in WI

Practice address

4423 Golf Ter
Suite 4
Eau Claire, WI 54701-4902

Phone

(715) 835-5208

NPI assigned

May 22, 2009

Sex

Female

Sole proprietor

No

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 WI

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1487889259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 GOLF TER",
            "address_2": "SUITE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014902",
            "telephone_number": "715-835-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 GOLF TER",
            "address_2": "SUITE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014902",
            "telephone_number": "715-835-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGNLIEN",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6380-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Alan Rogers
• Carla Courtney Rogers, MD
• Jillian Rogers, RDMS
• Stephen M Rogers, MD
• Derek James Rognlien, D.D.S.
• Patrice D Rogstad, H.I.S.
• Rick Rogstad, BC-HIS
• Stephanie Jean Rohe, APSW
• Sharon A Rohland, OT
• Belmarie P Roman-Maradiaga, MD

• General Practice Dentistry in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.