Alexander Roach, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021507 Issued in MI

Practice address

5270 Highland Rd
Waterford, MI 48327-1913

Phone

(248) 673-2400

NPI assigned

May 31, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bruce T. Roach, D.D.S., P.C.

  • General Practice Dentistry
  • Waterford, MI
  • NPI 1427459049
  NPD (past)

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433030400000",
    "number": "1780064253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271913",
            "telephone_number": "248-673-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271913",
            "telephone_number": "248-673-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-31",
        "last_updated": "2015-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assenith Riggs, REGISTERED NURSE
• Right Choice Care Center LLC
• Erik Riley
• Nancy Ellen Ristich, LMSW
• Michele R Ritter, MD
• Bruce T Roach, D.D.S.
• Lorren Roberts
• Zachary Roberts
• Barbara Robertson, MA, LPC, LBSW
• Harold Damon Robinson

• General Practice Dentistry in Waterford, MI
• Providers in Waterford, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.