NPIMap

Organization Active NPI

Rogers Family Dentistry PA

  • General Practice Dentistry
  • Arkansas City, KS
National Provider Identifier
1871698423
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS 5511 Issued in KS
Legal business name
ROGERS FAMILY DENTISTRY PA
Practice address
1939 N 11TH St
Arkansas City, KS 67005-1724
Phone
(620) 442-5660
Fax
(620) 442-5682
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Dr. Paul Nicholas Rogers, DDSNPI 1487650511
Title
President
Phone
(620) 442-5660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X KS 5511 KS Primary

Addresses

Primary practice location

1939 N 11TH St
Arkansas City, KS 67005-1724

Mailing address

1939 N 11TH St
Arkansas City, KS 67005-1724
Phone (620) 442-5660

Other identifiers 4

IdentifierTypeStateIssuer
100221560AMedicaidKS
200565320AMedicaidKS
200565330AMedicaidKS
BCBS008982OtherKSBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1939 N 11th St
Arkansas City, KS 67005
Phone (620) 442-5660

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1871698423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 N 11TH ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051724",
            "telephone_number": "620-442-5660",
            "fax_number": "620-442-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 N 11TH ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051724",
            "telephone_number": "620-442-5660",
            "fax_number": "620-442-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-442-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS 5511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221560A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200565320A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200565330A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BCBS008982",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.