Individual provider Active NPI

Michelle Ann Rowe, D.D.S.

  • Dentist
  • Centennial, CO
National Provider Identifier
1710292057
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN201940 Issued in CO
Practice address
6851 S. Holly Cir.
Suite 170
Centennial, CO 80112
Phone
(303) 759-5652
Fax
(720) 489-9800
NPI assigned
Aug 11, 2010
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN201940 CO Primary

Addresses

Primary practice location

6851 S. Holly Cir.
Suite 170
Centennial, CO 80112

Mailing address

6851 S. Holly Cir.
Suite 170
Centennial, CO 80112
Phone (303) 759-5652

Other practice location 1

10 Carter St
Fish River Rural Health
Eagle Lake, ME 04739
Phone (207) 444-5973 ext. 300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160614000032 CO Order and Referring Only - DentistPractitioner - Dentist 5092006502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN201940COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1710292057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S. HOLLY CIR.",
            "address_2": "SUITE 170",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-759-5652",
            "fax_number": "720-489-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S. HOLLY CIR.",
            "address_2": "SUITE 170",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-759-5652",
            "fax_number": "720-489-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Carter St",
            "address_2": "Fish River Rural Health",
            "address_purpose": "LOCATION",
            "city": "Eagle Lake",
            "state": "ME",
            "postal_code": "04739",
            "country_code": "US",
            "telephone_number": "207-444-5973 x300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN201940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.