Individual provider Active NPI

Scott W Rogers, D.M.D.

  • General Practice Dentistry
  • Pleasantville, NY
National Provider Identifier
1952304495
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036087 Issued in NY
Practice address
106 Washington Ave
Pleasantville, NY 10570-2854
Phone
(914) 747-0907
Fax
(914) 747-0989
NPI assigned
May 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 036087 NY Primary

Addresses

Primary practice location

106 Washington Ave
Pleasantville, NY 10570-2854

Mailing address

106 Washington Ave
Pleasantville, NY 10570-2854
Phone (914) 747-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150529001365 NY Order and Referring Only - DentistPractitioner - Dentist 7012237290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036087NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasantville Smiles Dentistry LLC PastSince Sep 23, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1952304495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WASHINGTON AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702854",
            "telephone_number": "914-747-0907",
            "fax_number": "914-747-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WASHINGTON AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702854",
            "telephone_number": "914-747-0907",
            "fax_number": "914-747-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

Verify at the official NPI Registry.