Organization Active NPI

Richard J. Rogers, DMD, PA

  • General Practice Dentistry
  • Destin, FL
National Provider Identifier
1922828672
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD J. ROGERS, DMD, PA
Practice address
4405 Commons Dr E Ste 201
Destin, FL 32541-3538
Phone
(850) 650-5435
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Bella Zaritsky
Title
Director
Phone
(480) 482-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4405 Commons Dr E Ste 201
Destin, FL 32541-3538

Mailing address

4405 Commons Dr E Ste 201
Destin, FL 32541-3538
Phone (850) 650-5435

Other names 1

  • Dr.Richard J. Rogers, DMD Doing business as

National Provider Directory

National Provider Directory

Locations

4405 Commons Dr E
Ste 201
Destin, FL 32541
Phone (850) 650-5435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1922828672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 COMMONS DR E STE 201",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413538",
            "telephone_number": "850-650-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 COMMONS DR E STE 201",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413538",
            "telephone_number": "850-650-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. ROGERS, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-482-1070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.Richard J. Rogers, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.