Richard L. Rodgers, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6596 Issued in IA

Legal business name

RICHARD L. RODGERS, D.D.S., M.S.

Practice address

2912 Hamilton Blvd
Suite 103
Sioux City, IA 51104-2410

Phone

(712) 255-0088

NPI assigned

May 23, 2008

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Lee Rodgers, D.D.S., M.S.NPI 1154467876

Title

Owner/Periodontist

Phone

(712) 255-0088

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Lee Rodgers, DDS MS

  • Periodontics
  • Sioux City, IA
  • NPI 1154467876
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1912165176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 HAMILTON BLVD",
            "address_2": "SUITE 103",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042410",
            "telephone_number": "712-255-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 HAMILTON BLVD",
            "address_2": "SUITE 103",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042410",
            "telephone_number": "712-255-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. RODGERS, D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "712-255-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "6596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "23319",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Sue Rhea-Bohnenkamp, D.D.S.
• Daniel M Rhodes, MD
• James H Rhodes, RPH
• Achok Riak
• Richard F Hettinger (The Dental Depot)
• Susan Beth Richards, LISW
• Sherri Rider
• Brooke Ann Riedemann, B.S.
• Amy Marie Rief-Elks, D.O.
• Lauren Rife, ARNP

• Periodontics in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.