Kristin Denise Rogers, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

31907 Issued in TX

Practice address

1780 S Friendswood Dr
Ste a
Friendswood, TX 77546-5410

Phone

(314) 574-8415

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1871833947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 S FRIENDSWOOD DR",
            "address_2": "STE A",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465410",
            "telephone_number": "314-574-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 S FRIENDSWOOD DR",
            "address_2": "STE A",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465410",
            "telephone_number": "314-574-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KRISTIN",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31907",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "31907",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029556",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019029556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Rafael Rodriguez
• Jonathan Alexander Rodriguez
• Melissa C. Rodriguez, APRN, PMHNP
• Sylvia M Rodriguez, PTA
• Anthea Jolin Roeback
• Melissa Romell, LPC
• Kiara Amelia Romero
• Ronald R. Baden, MD, PA
• Rosebranch Dermatology
• Michael D. Ross, LCSW

• Periodontics in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.