Philippe Joseph Rouchon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16141 Issued in MD

Practice address

3930 Knowles Ave Ste 302
Kensington, MD 20895-2428

Phone

(240) 669-4684

Fax

(240) 669-4686

NPI assigned

Aug 17, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: philippe.rouchon.p1@direct.mcg-hhs.nextgenshare.com

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.

• Rouchon Dental

  • Dental Clinic/Center
  • Kensington, MD
  • NPI 1720694466
  NPD Authorized official

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1740595545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CALIFORNIA ST NW APT 105",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091825",
            "telephone_number": "646-596-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 KNOWLES AVE STE 302",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952428",
            "telephone_number": "240-669-4684",
            "fax_number": "240-669-4686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Morningside Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274802",
            "country_code": "US",
            "telephone_number": "212-586-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUCHON",
        "first_name": "PHILIPPE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055188",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Y Ross
• Linda Howell Ross
• Mitchell Neal Ross, MD
• Lori Rothfeld, JD, LMSW
• Rouchon Dental
• Cecelia A. Rubertone
• Yevgeniy Rubtsov, DPT
• Lee R Runkle, PHD
• Laura V Rusch, M.D.
• Kelly Rush, LCSW-C

• Dentist in Kensington, MD
• Providers in Kensington, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.