Individual provider Active NPI

Jeanette Viall Rogge, L.AC., M.S.O.M.

  • Acupuncturist
  • Carmel, CA
National Provider Identifier
1497916365
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CA9472 Issued in CA
Practice address
26619 Carmel Center PL
Suite 201
Carmel, CA 93923-8656
Phone
(831) 625-6161
Fax
(831) 625-0170
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CA9472 CA Primary

Addresses

Primary practice location

26619 Carmel Center PL
Suite 201
Carmel, CA 93923-8656

Mailing address

26619 Carmel Center PL
Suite 201
Carmel, CA 93923-8656
Phone (831) 625-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CA9472CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1497916365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26619 CARMEL CENTER PL",
            "address_2": "SUITE 201",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238656",
            "telephone_number": "831-625-6161",
            "fax_number": "831-625-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26619 CARMEL CENTER PL",
            "address_2": "SUITE 201",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238656",
            "telephone_number": "831-625-6161",
            "fax_number": "831-625-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGE",
        "first_name": "JEANETTE",
        "middle_name": "VIALL",
        "name_prefix": "Ms.",
        "credential": "L.AC., M.S.O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.