SAMUEL U. RODGERS HEALTH CENTER JA ROGERS FAMILY DENTAL
NPI 1114236189
Clinic/Center - Federally Qualified Health Center (FQHC) in Kansas City, MO
About Samuel U. Rodgers Health Center Ja Rogers Family Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL U. RODGERS HEALTH CENTER JA ROGERS FAMILY DENTAL (NPI 1114236189) is a healthcare organization registered as a federally qualified health center (fqhc) in Kansas City, Missouri and active in the NPI registry since September 2010. The organization lists Robert Theis, Acting Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel U. Rodgers Health Center Ja Rogers Family Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Samuel U. Rodgers Health Center Ja Rogers Family Dental, which bills Medicare for the services they deliver. Of these, 57 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 78Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel U. Rodgers Health Center, Inc.'s NPI number?
The NPI number for Samuel U. Rodgers Health Center, Inc. is 1114236189. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is doing business as Samuel U. Rodgers Health Center Ja Rogers Family Dental and Samuel U Rodgers Health Center J A Rogers Family Dental.
Where is Samuel U. Rodgers Health Center, Inc. located?
Samuel U. Rodgers Health Center, Inc. is located at 6400 E 23rd St, Kansas City, MO 64129. The listed phone number is (816) 231-5746.
What is Samuel U. Rodgers Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Samuel U. Rodgers Health Center, Inc. enrolled in Medicare?
Yes. Samuel U. Rodgers Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samuel U. Rodgers Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 16 Medicare specialties reassign their Medicare billing to Samuel U. Rodgers Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (31), Dentist (10) and Clinical Social Worker (7). Of these, 57 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samuel U. Rodgers Health Center, Inc. was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel U. Rodgers Health Center Ja Rogers Family Dental · NPI 1114236189
Federally Qualified Health Center (FQHC) organization in Kansas City, Missouri. Organization record, active in the CMS NPPES registry since September 24, 2010.
## Identity
- **NPI:** 1114236189 (Entity type: Organization)
- **Enumerated:** September 24, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Samuel U. Rodgers Health Center, Inc.
- **Also known as:** Samuel U Rodgers Health Center J A Rogers Family Dental (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Robert Theis, ACTING CEO
## Practice location
- **Address:** 6400 E 23RD ST, Kansas City, MO 64129
- **Phone:** (816) 231-5746 · **Fax:** (816) 889-1849
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Dentist (10), Clinical Social Worker (7); 57 practice within 10 miles; [full list](https://npiprofile.com/npi/1114236189/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2019
- **Other identifiers:** Medicaid 500859111 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1114236189) · Data from the CMS NPPES public registry.