Individual provider Active NPI

Karry E Rogus, D.D.S.

  • Dentist
  • Medina, OH
National Provider Identifier
1891120838
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21399 Issued in OH
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
21399OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Court Dental Medicine, Inc. -Jeffrey C Esterburg D.M.D. and Mich PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.