Individual provider Active NPI

Robyn B Rousseau, DMD

  • General Practice Dentistry
  • Bath, ME
National Provider Identifier
1750959615
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4648 Issued in NH
Practice address
304 Washington St
Bath, ME 04530-1641
Phone
(207) 442-7581
Fax
(207) 442-7531
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 4648 NH Primary

Addresses

Primary practice location

304 Washington St
Bath, ME 04530-1641

Mailing address

304 Washington St
Bath, ME 04530-1641
Phone (207) 442-7581

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
4648NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald G Sawyer DMD PA PastSince Apr 9, 2024 Accepting new patients
Lancaster Dental Care, PC General Practice PastSince Jun 1, 2021 Accepting new patients
Bath Family Dental, LLC General Practice PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1750959615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WASHINGTON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301641",
            "telephone_number": "207-442-7581",
            "fax_number": "207-442-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WASHINGTON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301641",
            "telephone_number": "207-442-7581",
            "fax_number": "207-442-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "ROBYN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "4648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.