Individual provider Active NPI

Dennis L. Roginson, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bakersfield, CA
National Provider Identifier
1629294871
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
16255 Issued in CA
Practice address
4409 Ming Ave
Bakersfield, CA 93309-4817
Phone
(661) 835-5800
Fax
(661) 835-0378
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 16255 CA Primary

Addresses

Primary practice location

4409 Ming Ave
Bakersfield, CA 93309-4817

Mailing address

23904-B de Ville Way
Malibu, CA 90265-4852
Phone (818) 636-7786

Other identifiers 1

IdentifierTypeStateIssuer
D16255MedicaidCA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16255CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629294871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23904-B DE VILLE WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654852",
            "telephone_number": "818-636-7786",
            "fax_number": "310-456-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094817",
            "telephone_number": "661-835-5800",
            "fax_number": "661-835-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGINSON",
        "first_name": "DENNIS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "16255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D16255",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.