Jeffrey Barton Routsong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55802 Issued in CA

Practice address

1441 Secret Ravine Pkwy Ste 100
Roseville, CA 95661-6044

Phone

(916) 880-0774

NPI assigned

Jul 28, 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

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1508056292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SECRET RAVINE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616044",
            "telephone_number": "916-880-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SECRET RAVINE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616044",
            "telephone_number": "916-880-0774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 Old Ranch Rd Unit 53",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920575671",
            "country_code": "US",
            "telephone_number": "415-308-9874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUTSONG",
        "first_name": "JEFFREY",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-28",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rose Rothschild
• Katie Lynn Oliver Rott, MSN, RNC-NIC, CNS
• Michelle Roundtree-Puetz
• Jessica Rountree
• Michelle Yvonne Roush, LMFT
• Jennifer M. Rowberry, MD
• Nicole Rowell
• Rowi Valencia LLC
• Katie Samai Rowland
• Iante Roy

• General Practice Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.