DR. GARY D ROTH D.D.S.
NPI 1669555611
Dentist - General Practice in Fairfield, IA

Q: What is Gary Roth's NPI number?

The NPI number for Gary Roth is 1669555611. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Gary Roth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Roth 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.

Active since October 23, 2006PECOS Enrolled

205 N B ST, FAIRFIELD, IA 52556(641) 472-3044 Get Directions Write a Review

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

On this page

About Dr. Gary D Roth D.d.s. NPPES

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

DR. GARY D ROTH D.D.S. (NPI 1669555611) is an individual general practice provider in Fairfield, Iowa, licensed in Iowa (IA06694) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669555611

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GARY D ROTHCredential: D.D.S.

Location Address205 N B STFairfield, IA 52556-2944

Mailing Address205 N B StFairfield, IA 52556-2944 · (641) 472-3044

Phone(641) 472-3044

Sole ProprietorYes

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669555611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · IA06694

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.

205 N B ST, Fairfield, IA 52556

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary D Roth D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52556 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. ALEX JAMES ROTH DDS

Dentist

205 N B ST, 205 N B ST
FAIRFIELD, IA 52556

Jefferson County (641) 472-3044

ROTH & NORTON FAMILY DENTISTRY

Dentist

205 N B ST
FAIRFIELD, IA 52556

Jefferson County (641) 472-3044

HEARTLAND EYE CARE PLC

Optometrist

205 N B ST
FAIRFIELD, IA 52556

Jefferson County (641) 472-7175

MELANIE ANNE NORTON DDS

Dentist

205 N B ST
FAIRFIELD, IA 52556

Jefferson County (641) 451-0190

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 Gary Roth's NPI number?

The NPI number for Gary Roth is 1669555611. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Gary Roth located?

Gary Roth practices at 205 N B St, Fairfield, IA 52556. The listed phone number is (641) 472-3044.

What is Gary Roth's specialty?

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

Is Gary Roth enrolled in Medicare?

Yes. Gary Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Roth 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.