Amy Michelle Roeder, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7891 Issued in TN

Practice address

2805 Old Fort Pkwy
Suite a
Murfreesboro, TN 37128-5115

Phone

(615) 414-5994

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Apc Dentistry

  dba Dr. Amy Pediatric Dentistry

  • Pediatric Dentistry
  • Murfreesboro, TN
  • NPI 1801329917
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1639386394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 HANNAH DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283870",
            "telephone_number": "615-414-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "615-414-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "7891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Holdings, LLC (Vanderbilt LifeFlight)
• Bradley Kyle Rodell
• Javier Francisco Rodriguez, PA
• Robert Alan Rodriguez, MD
• Taylor Rodriguez, PHARMD
• Alexandra Rogers, LPC-MHSP
• Amanda Jewel Rogers, LPC-MHSP, NCC
• Christopher Rogers
• Hannah Rogers, MSN, PMHNP-BC
• Jean Anne Rogers, O.D.

• Pediatric Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.