Robert Rocco DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

016741 Issued in MI

Legal business name

ROBERT ROCCO DDS, PC

Practice address

130 E Allegan St
Otsego, MI 49078-1102

Phone

(269) 698-2800

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Tara Leavell

Title

Office Manger

Phone

(269) 964-3204

Specialties & licenses 1

Addresses

Other names 1

• Greater Michigan Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1952815482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E ALLEGAN ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781101",
            "telephone_number": "269-698-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E ALLEGAN ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781102",
            "telephone_number": "269-698-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Columbia Ave E Ste 2",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490145468",
            "country_code": "US",
            "telephone_number": "269-964-3204",
            "fax_number": "269-964-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT ROCCO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEAVELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "269-964-3204"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "016741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Michigan Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha M Pullen
• Purposeful Consultants LLC
• Mandi Elizabeth Quigley, LLPC, TLLP, CAADC
• Kristina Raleigh
• McKenna Kathryn Rasler
• Robert P. Rocco, D.D.S.
• Rooted to Rise Counseling Services, PLLC
• Adrian Sanchez
• Olivia Caroline Scheel, B.S.
• Brian Scherff

• Dental Clinic/Center in Otsego, MI
• Providers in Otsego, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.