JONATHAN RYAN ROGENMOSER DDS LLC (NPI# 1104205905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104205905 |
Entity Type | Organization |
Organization Name | JONATHAN RYAN ROGENMOSER DDS LLC |
Practice Address |
160 Windermere Boulevard Alexandria LA 71303 |
Mailing Address |
2994 Messina Rd Boyce LA 71409-9262 |
Practice Telephone | 3184450667 |
Mailing Telephone | 3184450667 |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |
Authorized Official Name | DR. JONATHAN RYAN ROGENMOSER (OWNER/MEMBER) |
Authorized Official Telephone | 3184450667 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6442 | LA | Ambulatory Health Care Facilities |
Street Address |
160 WINDERMERE BOULEVARD |
City | ALEXANDRIA |
State | LA |
Zip Code | 71303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
Find all providers in zip 71303 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
1376182196 | Alexandria Dentistry Pllc | Clinic/Center | 6000 Stevenson Ave Ste 103, Alexandria, VA 22304-3526 | 2019-12-26 |
1306493838 | Lawrence D. Singer | Clinic/Center | 809 Cameron St, Alexandria, VA 22314-2409 | 2019-08-20 |
1639734627 | Jung H Park Dds LLC | Clinic/Center | 7900 Andrus Rd Ste 1, Alexandria, VA 22306-3167 | 2019-05-05 |
1912404559 | Smile Experts | Clinic/Center | 4810 Beauregard St Ste 200, Alexandria, VA 22312-1709 | 2018-04-10 |
1194227090 | Alexandra Dental LLC | Clinic/Center | 654 Valley Cub Dr, Alexandria, AL 36250-4200 | 2018-03-06 |
1871023507 | Brightwhites, P.C. | Clinic/Center | 6214 Old Franconia Rd Ste A, Alexandria, VA 22310-3400 | 2017-06-15 |
1669843082 | Alexandria Kids Dentistry, PC | Clinic/Center | 625 E Monroe Ave, Alexandria, VA 22301-3019 | 2015-10-12 |
1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71303 |
Please comment or provide details below to improve the information on JONATHAN RYAN ROGENMOSER DDS LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.