Individual provider Active NPI

Thomas John Roginsky, D.M.D.

  • General Practice Dentistry
  • Northampton, PA
National Provider Identifier
1710006903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027649L Issued in PA
Practice address
24 W 21St St
Suite 104
Northampton, PA 18067-1268
Phone
(610) 262-5511
Fax
(610) 262-9623
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS027649L PA Primary

Addresses

Primary practice location

24 W 21St St
Suite 104
Northampton, PA 18067-1268

Mailing address

24 W 21St St
Suite 104
Northampton, PA 18067-1268
Phone (610) 262-5511

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS027649LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J. Roginsky, DMD & Michele a. Bernardich, DMD, PC General Practice Past Accepting new patients
Crafting Smile PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710006903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W 21ST ST",
            "address_2": "SUITE 104",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671268",
            "telephone_number": "610-262-5511",
            "fax_number": "610-262-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W 21ST ST",
            "address_2": "SUITE 104",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671268",
            "telephone_number": "610-262-5511",
            "fax_number": "610-262-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGINSKY",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027649L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.