JEFFREY SCOTT ROUSE D.D.S.
NPI 1366509044
Dentist - General Practice in San Antonio, TX

Active since January 02, 2007Opted out of Medicare · through Nov 7, 2026
555 E BASSE RD STE 200, SAN ANTONIO, TX 78209(210) 828-3334(210) 282-9459 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Scott Rouse D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY SCOTT ROUSE D.D.S. (NPI 1366509044) is an individual general practice provider in San Antonio, Texas, licensed in Texas (15665) and active in the NPI registry since January 2007. He has opted out of Medicare through November 7, 2026.

NPPES Registry Identity

NPI1366509044
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEFFREY SCOTT ROUSECredential: D.D.S.
Location Address555 E BASSE RD STE 200San Antonio, TX 78209-8329
Mailing Address555 E Basse Rd Ste 200San Antonio, TX 78209-8329 · (210) 828-3334 · Fax (210) 282-9459
Fax(210) 282-9459
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1366509044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 15665
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
555 E BASSE RD STE 200, San Antonio, TX 78209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jeffrey Scott Rouse D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2016 through November 7, 2026.

Opt-Out Effective DateNovember 7, 2016
Opt-Out In Effect ThroughNovember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
555 E BASSE RD STE 200
SAN ANTONIO, TX 78209
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
555 E BASSE RD STE 200
SAN ANTONIO, TX 78209

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 Jeffrey Rouse's NPI number?

The NPI number for Jeffrey Rouse is 1366509044. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Jeffrey Rouse located?

Jeffrey Rouse practices at 555 E Basse Rd Ste 200, San Antonio, TX 78209. The listed phone number is (210) 828-3334.

What is Jeffrey Rouse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeffrey Rouse enrolled in Medicare?

No. Jeffrey Rouse has opted out of Medicare through November 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeffrey Rouse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.