Clark W Rogers, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401005263 Issued in VA

Practice address

108 Elden St
Suite 10
Herndon, VA 20170-4828

Phone

(703) 471-7164

NPI assigned

May 10, 2006

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

Enrolled in MD

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.

• Marcos Grande DDS PLLC

  • General Practice Dentistry
  • Herndon, VA
  • NPI 1326462367
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861441289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HANNES ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011770",
            "telephone_number": "301-593-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ELDEN ST",
            "address_2": "SUITE 10",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704828",
            "telephone_number": "703-471-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CLARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macie Noelani Robinson, DPT, PT
• Steven Robinson
• Jennifer Alison Rockwell, BCBA, LBA
• Adrianna Zatxa Rodriguez
• Milagros Graciela Rodriguez
• Cynthia Jane Rogers, DMIN, LCSW
• Lauren Rogers, RBT
• Rohini Wijetilleke MD PC
• Brieanna Rollocks
• Lisa M Romanzo, DPT

• Dentist in Herndon, VA
• Providers in Herndon, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.