DR. ROY H ROGERS (NPI# 1235170044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235170044 |
Entity Type | Individual |
Full Name | DR. ROY H ROGERS |
Credential | D.D.S., M.S. |
Practice Address |
1564 S Timesquare Ln Boise ID 83709-8266 |
Practice Telephone | 2083768873 |
Mailing Telephone | 2083768873 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D3725 | ID | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | STATE LICENSE # | D3725 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548396096 | Roy Kent Rogers | Physician Assistant | 1807 W University Blvd, Durant, OK 74701-3011 | 2007-02-26 |
1356590038 | Roy Rogers | Social Worker | 1125 Spring Rd Nw, Washington, DC 20010-1421 | 2008-09-17 |
1982678173 | Roy S Rogers IIi | Dermatology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-02-14 |
Street Address |
1564 S TIMESQUARE LN |
City | BOISE |
State | ID |
Zip Code | 83709-8266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568902286 | Treasure Valley Pediatric Dentistry | Dentist | 1564 S Timesquare Ln, Boise, ID 83709-8266 | 2017-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
Find all providers in zip 83709 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679665822 | Dentistry for Children | Dentist | 305 E Jefferson, Suite 103, Boise, ID 83712 | 2006-09-28 |
1962456632 | Scott Freeman | Dentist | 6363 Emerald, Boise, ID 83904 | 2006-05-19 |
1427012046 | Rodman Owen Emory | Dentist | 13014 W Persimmon Ln, Boise, ID 83713-1986 | 2006-04-12 |
1346771904 | Alexis Rachel Phillips | Dentist | 136 E Mallard Dr, Boise, ID 83706-3975 | 2017-03-24 |
1568902286 | Treasure Valley Pediatric Dentistry | Dentist | 1564 S Timesquare Ln, Boise, ID 83709-8266 | 2017-02-28 |
1629483987 | Blair Pediatric Dentistry PC | Dentist | 5360 N Eagle Rd, Suite 103, Boise, ID 83713-4901 | 2014-06-25 |
1801059209 | Cheryl Higer | Dentist | 305 E Jefferson St, Boise, ID 83712-6273 | 2008-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
1902325749 | Cherry Lane Kids Dentistry | Dentist | 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 | 2017-09-13 |
1922462142 | Our Town Family Dentistry | Dentist | 39 W Idaho St, Weiser, ID 83672-1943 | 2016-04-13 |
1720447097 | Brock Coletti | Dentist | 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 | 2016-02-15 |
1154799047 | Smiles 4 Kids Blackfoot Pllc | Dentist | 621 Jensen Grove Dr, Blackfoot, ID 83221-1685 | 2015-09-09 |
1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
1679812002 | Dentistry for Kids Pllc | Dentist | 625 E Alameda Rd., Pocatello, ID 83201 | 2013-02-05 |
1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
Find all providers with the same taxonomy |
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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.