Active NPI
Maria Kiana Rogers, RDH
- Dental Hygienist
- Jacksonville, FL
National Provider Identifier
1629616636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 32556
- Practice address
- Navy Medicine Support Command Attn: Medical Staff SVCS
BLDG H 2005 Knight Lane
Jacksonville, FL 32212-0140 - Phone
- (760) 725-3213
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 32556 | CA | Primary |
Addresses
Primary practice location
Navy Medicine Support Command Attn: Medical Staff SVCS
BLDG H 2005 Knight Lane
Jacksonville, FL 32212-0140
Mailing address
4855 Frazee Rd Apt 814
Oceanside, CA 92057-6835
Phone (443) 520-5301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32556 | Other | CA | CALIFORNIA DENTAL HYGIENE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maria.k.rogers3.ctr@mail.mil | Direct |
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 |
|---|---|---|---|
| 32556 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1629616636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 FRAZEE RD APT 814",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920576835",
"telephone_number": "443-520-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS",
"address_2": "BLDG H 2005 KNIGHT LANE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140",
"telephone_number": "760-725-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MARIA",
"middle_name": "KIANA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "32556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DENTAL HYGIENE LICENSE NUMBER",
"identifier": "32556",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "maria.k.rogers3.ctr@mail.mil",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dental naval command",
"address_1": "Navy Medicine Support Command Attn: Medical Staff Svcs",
"address_2": "Bldg H 2005 Knight Lane",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322120140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.