Active NPI
Brian Rodney Rochelle, DDS
- Dentist
- Casper, WY
National Provider Identifier
1790049856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1319
- Practice address
- 514 S Durbin St
Casper, WY 82601-3150 - Phone
- (307) 235-5344
- NPI assigned
- Jul 3, 2012
- Last updated
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1319 | WY | Primary |
Addresses
Primary practice location
514 S Durbin St
Casper, WY 82601-3150
Mailing address
514 S Durbin St
Casper, WY 82601-3150
Phone (307) 235-5344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1319 | WY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Creek Dentistry, PC | Past | Accepting new patients | |
| Deer Creek Dental | Dentist | Past | 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.
-
- General Practice Dentistry
- Casper, WY
- NPI 1457877987
-
- Dentist
- Casper, WY
- NPI 1548518566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1790049856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 S DURBIN ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826013150",
"telephone_number": "307-235-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S DURBIN ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826013150",
"telephone_number": "307-235-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHELLE",
"first_name": "BRIAN",
"middle_name": "RODNEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
- Cammy C Robertson, OTR
- Nancy A Robertson, PT
- Brynn B Robinson, APRN
- Joanne Patricia Robinson, LCSW
- Beth C Robitaille, MD
- Rocky Mountain Behavioral Healthcare, LLC
- Rocky Mountain Family Medicine LLC
- Rocky Mountain Healthcare Advocates Inc.
- Rocky Mountain Holdings, LLC (Wyoming Life Flight)
- Rocky Mountain Infectious Diseases P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.