Rockville Road Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009952 Issued in IN

Legal business name

ROCKVILLE ROAD DENTISTRY

Practice address

6355 Rockville Road
Indianapolis, IN 46214

Phone

(317) 227-0581

Fax

(317) 227-0820

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Frieda Cooke, DONPI 1205934973

Title

President

Phone

(317) 227-0881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frieda Cooke, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1205934973
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1649380452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 ROCKVILLE ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46214",
            "telephone_number": "317-227-0581",
            "fax_number": "317-227-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 ROCKVILLE ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46214",
            "telephone_number": "317-227-0581",
            "fax_number": "317-227-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE ROAD DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-227-0881",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200194500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockey Family Medicine LLC
• Reanne Lea Rockey
• Melissa Rockhill, GNP-BC
• Dewaun Rockingham
• Rachael Laura Rocktoff
• Sarah Rockwell, AGCNS-BC
• Nataly Rodas
• Alexander Rodd
• Mark Rodefeld, MD
• Scott Knowlton Rodefelt

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.