Mitchell Rork, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7722 Issued in NE

Practice address

9961 S 168TH Ave
Omaha, NE 68136-4232

Phone

(402) 614-4017

NPI assigned

Jun 8, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aj& Associates Dental PC

  • Dentist
  • Omaha, NE
  • NPI 1861715757
  NPD (past)
• Koentjoro Dentistry Dodge LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1659013456
  NPD (past)
• Thomas M. Sanders DDS, LLC

  • Dentist
  • Omaha, NE
  • NPI 1699296368
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1528635497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 S 168TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364232",
            "telephone_number": "402-614-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 S 168TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364232",
            "telephone_number": "402-614-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORK",
        "first_name": "MITCHELL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09950",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Root of It LLC
• Autumn Root
• Perry James Root Sr., LIMHP, CMSW, PLADC
• Rooted Connections ABA, LLC
• Andrew Craig Rorie, M.D.
• Francisco J Rosales Mendoza
• Rosaria Rosales Rose
• Lilian Rosales-Ramos
• Alexis Rosales, PT, DPT
• Ana Cristina Rosales

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.