Active NPI
Aaron Chauncey Rowbottom, D.D.S.
- Dentist
- Sullivan, MO
National Provider Identifier
1619194909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15982
- Practice address
- 675 Dunsford Dr
Sullivan, MO 63080-1267 - Phone
- (573) 468-2774
- Fax
- (573) 468-2008
- NPI assigned
- Apr 19, 2007
- 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 | 15982 | MO | Primary |
Addresses
Primary practice location
675 Dunsford Dr
Sullivan, MO 63080-1267
Mailing address
675 Dunsford Dr
Sullivan, MO 63080-1267
Phone (573) 468-2774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15982 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scantlan & Rowbottom, D.D.S., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Sullivan, MO
- NPI 1619007127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619194909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 DUNSFORD DR",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630801267",
"telephone_number": "573-468-2774",
"fax_number": "573-468-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 DUNSFORD DR",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630801267",
"telephone_number": "573-468-2774",
"fax_number": "573-468-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWBOTTOM",
"first_name": "AARON",
"middle_name": "CHAUNCEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "15982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sullivan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.