Peter J Rodenbostel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13315 Issued in FL

Practice address

2127 NE Coachman Road #136
Clearwater, FL 33759

Phone

(727) 461-5828

Fax

(727) 461-7386

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1790822930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 GULF TO BAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-461-5828",
            "fax_number": "727-461-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 NE COACHMAN ROAD #136",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-461-5828",
            "fax_number": "727-461-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODENBOSTEL",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Rocha
• Jenine Rochon
• Alesia Alferova Rockwell, DMD
• Jordan Roddey, PSYD
• Theresa Rodeghero, DMD
• Roderick M Urbaniak, M.D., P.a.
• William Robert Rodgers, HS
• Rodney L Anthony DMD PA
• Claribel Rodriguez-Andujar, DPM
• Alan Fernando Rodriguez-Rosa, M.D.

• General Practice Dentistry in Clearwater, FL
• Providers in Clearwater, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.