Heather Diane Rogers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9943 Issued in OR

Practice address

11820 SW King James PL
Suite 10J
Tigard, OR 97224-2480

Phone

(503) 616-5000

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oregon Mobile Dentistry, P.C.

  • Dentist
  • Tigard, OR
  • NPI 1093138893
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1679854772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL",
            "address_2": "SUITE 10J",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242480",
            "telephone_number": "503-616-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL",
            "address_2": "SUITE 10J",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242480",
            "telephone_number": "503-616-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6551-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arya Roerig, CADC 1
• Luann Roessler, RDH
• Abigail Gracelynn Rogers, QMHA
• Andrea N Rogers
• Gwendolyn Anne Rogers, N.D, LAC
• Katrina Nicole Rogers, IBCLC, CPD
• Roco Theo Rogoff
• Susan Rohrbacher, MA CCC
• Angel Alejo Roman
• Susan Romani, LMT

• General Practice Dentistry in Tigard, OR
• Providers in Tigard, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.