Larry D Rothenberger, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007174A Issued in IN

Legal business name

LARRY D ROTHENBERGER, INC

Practice address

1253 S Jackson St
Frankfort, IN 46041-3312

Phone

(765) 659-3351

Fax

(765) 659-9037

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki Rutledge, LDH

Title

Practice Manager/Dental Hygienist

Phone

(765) 659-3351

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aethetics and Family Dental Other name

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1578940409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413312",
            "telephone_number": "765-659-3351",
            "fax_number": "765-659-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413312",
            "telephone_number": "765-659-3351",
            "fax_number": "765-659-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D ROTHENBERGER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRACTICE MANAGER/DENTAL HYGIENIST",
        "authorized_official_telephone_number": "765-659-3351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007174A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aethetics and Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa E Kirisits, PMHNP
• Kelley Kirk
• Margaret Marie Klee, PT
• Haylee Knox
• Celina Larimer
• Leahy Audiology and Hearing AIDS LLC (Leahy Audiology and Hearing Aids)
• Ryan David Leahy, AU.D.
• Shiloh Dallas Lee
• Mark R Lentz, NP
• Leslie As Douglass Licensed Clinical Social Worker LLC

• General Practice Dentistry in Frankfort, IN
• Providers in Frankfort, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.