Roxanne Catherine Siegrist

Primary specialty

DentistTaxonomy code 122300000X

License

202159 Issued in CO

Practice address

507 Red Lady Avenue
Suite 142
Crested Butte, CO 81224

Phone

(970) 349-5577

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Roxanne Catherine Rudowicz Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roxanne Siegrist DDS LLC

  • Dentist
  • Crested Butte, CO
  • NPI 1740694504
  NPD (past) Authorized official

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1609143593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812240639",
            "telephone_number": "970-349-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 RED LADY AVENUE",
            "address_2": "SUITE 142",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "81224",
            "telephone_number": "970-349-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Gothic Ave Unit C",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302216",
            "country_code": "US",
            "telephone_number": "970-349-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGRIST",
        "first_name": "ROXANNE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3852",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "RUDOWICZ",
            "middle_name": "CATHERINE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Roger S Sherman, MD
• Southwest Colorado Mental Health Center, Inc (Axis Health System)
• Southwest Colorado Mental Health Center, Inc (Axis Health System)
• Ilene M. Spector, D.O.
• Richard John Spinella Jr., PT
• David Paul Stangl Jr., DMD

• Dentist in Crested Butte, CO
• Providers in Crested Butte, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.