DR. MARY KAY ROTH (NPI# 1336250687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336250687 |
| Entity Type | Individual |
| Full Name | DR. MARY KAY ROTH |
| Credential | DDS |
| Practice Address |
807 St Andrew Rapid City SD 57701-4526 |
| Practice Telephone | 6053439352 |
| Practice Fax Number | 6053439352 |
| Mailing Telephone | 6053439352 |
| Mailing Fax Number | 6053433115 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | M697 | SD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BR1122302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082566 | Mary Ellen Roth | Counselor | 695 South Street, #6, Chardon, OH 44024 | 2011-07-01 |
| 1851483358 | Mary C Roth | Speech-Language Pathologist | 575 Scarsdale Rd, Tuckahoe, NY 10707-1659 | 2006-09-29 |
| 1780064139 | Mary Elizabeth Roth | Pharmacist | 101 Manning Dr, Cb 7600, Chapel Hill, NC 27514-4220 | 2015-06-01 |
| 1780028928 | Mary J Roth | Dietitian, Registered | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2013-04-18 |
| 1669790580 | Mary Roth | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2010-05-17 |
| 1467606392 | Mary Deborah Roth | Dietitian, Registered | 3009 N Ballas Rd Ste 216b, Ste 216b, Saint Louis, MO 63131-2322 | 2008-11-05 |
| 1467618785 | Mary A Roth | Nurse Practitioner | 2301 South 65 Highway, Marshall, MO 65340-3702 | 2008-08-06 |
| 1386817377 | Mary Claire Roth | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2008-04-10 |
| 1104947506 | Mary Margaret Roth | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-04-03 |
| 1912065160 | Mary Ellen Roth | Optometrist | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2006-12-04 |
| Street Address |
807 ST ANDREW |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1710433123 | Timothy L Kelly Dental Prof. LLC | Dentist | 1600 Mountain View Rd Ste 104, Rapid City, SD 57702-4354 | 2016-08-27 |
| 1801270228 | Michael Doerr | Dentist | 801 Mount Rushmore Rd Ste 201, Rapid City, SD 57701-3614 | 2015-07-15 |
| 1013183821 | Kelly Lytle | Dentist | 3312 Jackson Blvd, Rapid City, SD 57702-3346 | 2008-05-01 |
| 1952593360 | Jennifer Leah Hendricks Friedman | Dentist | 2800 Jackson Blvd Ste 9, Rapid City, SD 57702-3477 | 2007-08-10 |
| 1336209808 | Paul M. Rezich, Dds, PC | Dentist | 503 E North St, Rapid City, SD 57701-1462 | 2006-12-12 |
| 1144392440 | Jeffrey T Bloom | Dentist | 631 St Anne St, Suite 105, Rapid City, SD 57701 | 2006-11-14 |
| 1871606202 | Joseph M Lytle | Dentist | 710 Mt Rushmore Rd, Rapid City, SD 57701 | 2006-08-17 |
| 1326056086 | Carl R Stonecipher | Dentist | 2800 Jackson Blvd, Suite 9, Rapid City, SD 57702 | 2006-08-04 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on DR. MARY KAY ROTH.
| 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.