Active NPI
Nicholas Jude Rodgers, DMD
- Dentist
- Worcester, MA
National Provider Identifier
1609679125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001458
- Practice address
- 352 Belmont St Ste 3
Worcester, MA 01604-1008 - Phone
- (774) 420-7020
- NPI assigned
- Mar 31, 2025
- Last updated
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10001458 | MA | Primary |
Addresses
Primary practice location
352 Belmont St Ste 3
Worcester, MA 01604-1008
Mailing address
131 Main Street
South Lancaster, MA 01561
Phone (978) 365-5643
Other practice location 1
131 Main Street
South Lancaster, MA 01561
Phone (978) 365-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Dental Care, PC | Dentist | Past | Accepting new patients |
| Nashaway Dental Group P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Worcester, MA
- NPI 1457299653
-
- Dentist
- South Lancaster, MA
- NPI 1992914139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1609679125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MAIN STREET",
"city": "SOUTH LANCASTER",
"state": "MA",
"postal_code": "01561",
"telephone_number": "978-365-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 BELMONT ST STE 3",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041008",
"telephone_number": "774-420-7020"
}
],
"practiceLocations": [
{
"address_1": "131 Main Street",
"address_purpose": "LOCATION",
"city": "South Lancaster",
"state": "MA",
"postal_code": "01561",
"country_code": "US",
"telephone_number": "978-365-5643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "NICHOLAS",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10001458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.