Jacob H Rogers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3645 Issued in NM

Practice address

6521 Paradise Blvd NW Ste M
Albuquerque, NM 87114-6199

Phone

(505) 890-3000

NPI assigned

Apr 26, 2011

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

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.

Opted out of Medicare

Yes, effective Nov 8, 2016 through Nov 8, 2026

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.

• JHR Smiles LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1134506447
  NPD (past) Authorized official
• Neighborhood Smiles of Paseo, LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1396007720
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1548551435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 PARADISE BLVD NW STE M",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146199",
            "telephone_number": "505-350-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 PARADISE BLVD NW STE M",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146199",
            "telephone_number": "505-890-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JACOB",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Samone Lydia Rogers
• Cynthia Rena Rogers, AG-ACNP
• Danny Rogers
• David Rogers, MD
• Debra Rogers, MA, LPAT, LPCC
• Jessie E Rogers, MD
• Jody J Rogers, MD
• Julianna G Rogers, PHC
• Kate Davis Rogers, LPCC, LPAT
• Kayla Rogers, LPCC

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.