Charles Morgan Rousseau, D M D

Primary specialty

DentistTaxonomy code 122300000X

License

3699 Issued in AL

Practice address

540 Hughes Rd
Ste 4
Madison, AL 35758

Phone

(256) 464-3556

Fax

(256) 464-3553

NPI assigned

May 7, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1811163033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD",
            "address_2": "STE 4",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588959",
            "telephone_number": "256-464-3556",
            "fax_number": "256-464-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD",
            "address_2": "STE 4",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-464-3556",
            "fax_number": "256-464-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "CHARLES",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "D M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1851498059",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Natalie Simpson Roth, DDS
• Carol P Rothe, LICSW
• Elisa Rowland, PHARMD
• Michael Ray Rowse
• Lauren Roy, DPT
• Stacey Leigh Roy, M.S.ED., CCC-SLP
• Thomas Scott Royster, MD

• Dentist in Madison, AL
• Providers in Madison, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.