Richard James Ronk Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06357 Issued in IA

Practice address

200 S 29TH St
Council Bluffs, IA 51501-3449

Phone

(712) 322-7912

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518040930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 29TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013449",
            "telephone_number": "712-322-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 29TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013449",
            "telephone_number": "712-322-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONK",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06357",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150995",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE PROVIDER NO.",
            "identifier": "25215",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Mai Rogers, LMSW
• Rogge Chiropractic Clinic
• Rogge Family Chiropractic Healing Center LLC
• Deanna Jean Rogge, D.C.
• Kavish Rohatgi, MBBS
• Hillary Lynn Rosenquist, PTA
• Amanda M Rowan, CRNA
• Michelle Rude, APRN
• Kelli Lynn Rudman, M.D.
• James Andrew Ruff, P.T.

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.