Active NPI
Karry E Rogus, D.D.S.
- Dentist
- Medina, OH
National Provider Identifier
1891120838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21399
- Practice address
- 1063 South Court Dental
Medina, OH 44256-2824 - Phone
- (330) 725-0581
- Fax
- (330) 721-0146
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21399 | OH | Primary |
Addresses
Primary practice location
1063 South Court Dental
Medina, OH 44256-2824
Mailing address
1063 S Court St
Medina, OH 44256-2824
Phone (330) 725-0581
Other practice location 1
270 Sandusky St
Ashland, OH 44805-2033
Phone (419) 281-0760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21399 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Court Dental Medicine, Inc. -Jeffrey C Esterburg D.M.D. and Mich | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Medina, OH
- NPI 1588757470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891120838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 S COURT ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562824",
"telephone_number": "330-725-0581",
"fax_number": "330-721-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 SOUTH COURT DENTAL",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562824",
"telephone_number": "330-725-0581",
"fax_number": "330-721-0146"
}
],
"practiceLocations": [
{
"address_1": "270 Sandusky St",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "OH",
"postal_code": "448052033",
"country_code": "US",
"telephone_number": "419-281-0760",
"fax_number": "419-281-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGUS",
"first_name": "KARRY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "21399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.