Kade A Roundy, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

26486 Issued in TX

Practice address

15900 La Cantera Pkwy
Suite 20240
San Antonio, TX 78256-2422

Phone

(210) 690-7668

Fax

(210) 690-7669

NPI assigned

May 24, 2006

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 TX

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1891740023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 20240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562422",
            "telephone_number": "210-690-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 20240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562422",
            "telephone_number": "210-690-7668",
            "fax_number": "210-690-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDY",
        "first_name": "KADE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "9892",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "26486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Rotter, M.D.
• Kathryn Chaney Rottluff, MD
• Rebecca Ann Rottman, PHARM D
• Debra Karin Rotto, M.D.
• Gaston A Rougeaux-Burnes, PSYD
• Erika Michelle Rountree
• Jack Wayne Rountree Jr., OD
• Jeffrey Scott Rouse, D.D.S.
• Lisa Danielle Rouse, D.D.S.
• Richard G Rouse, M.D.

• Endodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.