Kenneth B Rogers DMD PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN11515 Issued in FL

Legal business name

KENNETH B ROGERS DMD PA

Practice address

1550 1St St S
Winter Haven, FL 33880-4306

Phone

(863) 293-0636

Fax

(863) 293-2479

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Kenneth Benjamine Rogers, DMD

Title

Director

Phone

(863) 293-0636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922082486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804306",
            "telephone_number": "863-293-0636",
            "fax_number": "863-293-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804306",
            "telephone_number": "863-293-0636",
            "fax_number": "863-293-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B ROGERS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BENJAMINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-293-0636",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN11515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charbel Albert Kenaan, M.D.
• Jana Kenaan, M.D.
• Kendered Care
• Kevin James Kenemuth, AP
• Joseph Scott Kennedy, DNP, APRN, FNP-C
• Patricia Rodriguez Kent, NP
• Michael L Keown, MD
• Kesha Health Care Service,LLC
• Kimberly Sue Kettinger, PTA
• Kevin L. Henne O.D.

• Pediatric Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.