Individual provider Active NPI

Daniel Paul Rooke, D.M.D

  • Dentist
  • Philomath, OR
National Provider Identifier
1649471665
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9247 Issued in OR
Practice address
1224 Applegate St
Philomath, OR 97370-0000
Phone
(541) 929-3239
Fax
(541) 929-6978
NPI assigned
May 29, 2007
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9247 OR Primary

Addresses

Primary practice location

1224 Applegate St
Philomath, OR 97370-0000

Mailing address

PO Box 520
Philomath, OR 97370-0520
Phone (541) 929-3239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000974 OR Order and Referring Only - DentistPractitioner - Dentist 4587953922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9247ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel P Rooke, DMD, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1649471665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973700520",
            "telephone_number": "541-929-3239",
            "fax_number": "541-929-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 APPLEGATE ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973700000",
            "telephone_number": "541-929-3239",
            "fax_number": "541-929-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKE",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "9247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philomath, OR

Sources for this page

Verify at the official NPI Registry.