Active NPI
Lori Louise Rogers, DDS
- Dentist
- La Mesa, CA
National Provider Identifier
1508908906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39073
- Practice address
- 3855 Avacado Blvd
#260
La Mesa, CA 91941 - Phone
- (619) 670-1706
- Fax
- (619) 670-1860
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39073 | CA | Primary |
Addresses
Primary practice location
3855 Avacado Blvd
#260
La Mesa, CA 91941
Mailing address
11246 Montaubon Way
San Diego, CA 92131
Phone (858) 549-4356
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39073 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K Tej Dental Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- La Mesa, CA
- NPI 1770345282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508908906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11246 MONTAUBON WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92131",
"telephone_number": "858-549-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 AVACADO BLVD",
"address_2": "#260",
"city": "LA MESA",
"state": "CA",
"postal_code": "91941",
"telephone_number": "619-670-1706",
"fax_number": "619-670-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "LORI",
"middle_name": "LOUISE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- 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.