Active NPI
Dennis Allen Rochester, P.A.-C
- Physician Assistant
- Damascus, MD
National Provider Identifier
1679577464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C00166
- Practice address
- 9815 Main St
Suite 208
Damascus, MD 20872-2002 - Phone
- (301) 253-4004
- Fax
- (301) 253-3391
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C00166 | MD | Primary |
Addresses
Primary practice location
9815 Main St
Suite 208
Damascus, MD 20872-2002
Mailing address
9815 Main St
Suite 208
Damascus, MD 20872-2002
Phone (301) 253-4004
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1679577464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 MAIN ST",
"address_2": "SUITE 208",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208722002",
"telephone_number": "301-253-4004",
"fax_number": "301-253-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 MAIN ST",
"address_2": "SUITE 208",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208722002",
"telephone_number": "301-253-4004",
"fax_number": "301-253-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHESTER",
"first_name": "DENNIS",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C00166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.