Individual provider Active NPI

Rockey James Rosser, DMD

  • General Practice Dentistry
  • Goodyear, AZ
National Provider Identifier
1689102972
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009724 Issued in AZ
Practice address
781 S Cotton LN Ste 100
Goodyear, AZ 85338-4644
Phone
(623) 882-3636
NPI assigned
May 31, 2017
Last updated
May 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D009724 AZ Primary

Addresses

Primary practice location

781 S Cotton LN Ste 100
Goodyear, AZ 85338-4644

Mailing address

8203 W Oraibi Dr Apt 2093
Peoria, AZ 85382-6600
Phone (541) 810-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170817003646 CA Order and Referring Only - DentistPractitioner - Dentist 5496027997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D009724AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Goodyear Smiles, LLP General Practice 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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1689102972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 W ORAIBI DR APT 2093",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826600",
            "telephone_number": "541-810-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S COTTON LN STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384644",
            "telephone_number": "623-882-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "ROCKEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.