Active NPI
Joseph Jordan Rogers, DDS
- General Practice Dentistry
- Madison, TN
National Provider Identifier
1902326523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10541
- Practice address
- 2153 Gallatin Pike N
Madison, TN 37115-2003 - Phone
- (615) 953-8946
- NPI assigned
- Jun 24, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10541 | TN | Primary |
Addresses
Primary practice location
2153 Gallatin Pike N
Madison, TN 37115-2003
Mailing address
920 Spence Enclave CT
Nashville, TN 37210-3244
Phone (615) 973-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170928002023 | TN | Order and Referring Only - Dentist | 5597039685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WRH Serenity Dental General Partnership | General Practice | Current | Accepting new patients |
Locations
4251 Lebanon Pike
Hermitage, TN 37076
Phone (615) 889-5545
1030 W Main St
Lebanon, TN 37087
Phone (615) 444-3932
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
- Lebanon, TN
- NPI 1821819558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498262400000",
"number": "1902326523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SPENCE ENCLAVE CT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372103244",
"telephone_number": "615-973-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2153 GALLATIN PIKE N",
"city": "MADISON",
"state": "TN",
"postal_code": "371152003",
"telephone_number": "615-953-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JOSEPH",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-24",
"last_updated": "2017-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.