Dana J Rotella, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

009786 Issued in CT

Practice address

190 Westbrook Rd
Suite 1B
Essex, CT 06426-1518

Phone

(860) 767-1141

Fax

(860) 767-9931

NPI assigned

Oct 5, 2006

Last updated

Sep 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1871680678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WESTBROOK RD",
            "address_2": "SUITE 1B",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261518",
            "telephone_number": "860-767-1141",
            "fax_number": "860-767-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WESTBROOK RD",
            "address_2": "SUITE 1B",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261518",
            "telephone_number": "860-767-1141",
            "fax_number": "860-767-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTELLA",
        "first_name": "DANA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009786",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI023030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Richter, LCSW
• Christina Fultz Rickenback, APRN
• Rite Aid
• Rodney Hornbake MD, PC
• Kathryn Roman
• Ewa T Ruggieri, M.D.
• Mary Ellen Ruggiero, RN HCSW
• Michaela Russell
• Adam J Russo, MS
• Darcy Rzepka, OTR/L

• Dentist in Essex, CT
• Providers in Essex, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.