Roger Badwal, DMD, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

8387 Issued in CT

Practice address

107 Newtown Rd
Danbury, CT 06810-4146

Phone

(203) 797-0012

Fax

(203) 797-0123

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1700894300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-797-0012",
            "fax_number": "203-797-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-797-0012",
            "fax_number": "203-797-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADWAL",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "008387",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": "8387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001364190",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Azizi, M.D.
• Arianna Azzi
• Badamkhand Baatarkhuu, M.D.
• Amanda Lisa Bachman, LCSW
• Leon A Baczeski, MD
• Randy Baez, M.ED
• Cynthia Bahr, PT
• Meena Bai, M.D
• Paul Baik, MD
• Claire M Bailey, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Danbury, CT
• Providers in Danbury, CT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.