CHARLES ROSKAMP (NPI# 1790925279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790925279 |
| Entity Type | Individual |
| Full Name | CHARLES ROSKAMP |
| Credential | DDS |
| Practice Address |
3300 S Aspen Ave Suite A Broken Arrow OK 74012-7501 |
| Practice Telephone | 9184510211 |
| Mailing Telephone | 9184510211 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3861 | OK | Dental Providers |
| Street Address |
3300 S ASPEN AVE SUITE A |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942280896 | Thomas Howard Berenson | Optometrist | 3300 S Aspen Ave, Suite D, Broken Arrow, OK 74012-7501 | 2006-01-18 |
| 1477714590 | Kash K. Biddle, Do, Pllc | Family Medicine | 3300 S Aspen Ave, Suite C, Broken Arrow, OK 74012-7501 | 2008-06-20 |
| 1144363094 | Aspen Children's Clinic of Broken Arrow Inc. | Clinic/Center | 3300 S Aspen Ave, Suite B, Broken Arrow, OK 74012-7501 | 2007-02-14 |
| 1205999471 | Thomas H Berenson O D P C | Optometrist | 3300 S Aspen Ave, Ste D, Broken Arrow, OK 74012-7501 | 2006-12-19 |
| 1336154756 | Charles Roskamp D.d.s. Inc. | Dentist | 3300 S Aspen Ave, Sutie A, Broken Arrow, OK 74012-7501 | 2006-07-31 |
| 1073566659 | Kash Kendall Biddle | General Practice | 3300 S Aspen Ave, Ste C, Broken Arrow, OK 74012-7501 | 2006-05-18 |
| 1174572838 | Suresh Bharani | Pediatrics | 3300 S Aspen Ave, Suite B, Broken Arrow, OK 74012-7501 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
|---|---|---|---|---|
| 1275190639 | Douglas Scott Kooken II | Dentist | 1950 W Kenosha St, Broken Arrow, OK 74012-8944 | 2019-05-21 |
| 1083062004 | Angela J Rhodes | Dentist | 2311 N 9th St Ste 102, Broken Arrow, OK 74012-2887 | 2016-05-31 |
| 1508279019 | Jordon Caine Smith | Dentist | 427 West Stone Wood Drive, Broken Arrow, OK 74012 | 2014-06-03 |
| 1396188116 | Michael Anthony Lloyd | Dentist | 1230 E Hillside Dr, Broken Arrow, OK 74012 | 2013-04-10 |
| 1831418201 | Terry Robert Root | Dentist | 58 St Andrews Cir, Broken Arrow, OK 74011-1107 | 2010-05-25 |
| 1568697001 | Ronald Eugene Bajuscak | Dentist | 19511 E 49th St S, Broken Arrow, OK 74014-1494 | 2009-05-28 |
| 1811086846 | Valerie Van Holleman | Dentist | 1656 N 9th St, Broken Arrow, OK 74012-8495 | 2006-10-11 |
| 1699791145 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 1139 E Kenosha St, Broken Arrow, OK 74012-2006 | 2006-07-15 |
| 1487628731 | Randy J Fagan | Dentist | 2221 W Washington St, Broken Arrow, OK 74012-6726 | 2006-02-14 |
| 1124020326 | Steven W Hogg | Dentist | 423 W Washington St, Broken Arrow, OK 74012-6450 | 2005-06-01 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.