DR. KENNETH P ROTTMAN D.D.S.
NPI 1891091161
Dentist - General Practice in Long Beach, IN

Q: What is Kenneth Rottman's NPI number?

The NPI number for Kenneth Rottman is 1891091161. It was assigned to this individual provider in the NPPES registry on February 4, 2011.

Q: What is Kenneth Rottman'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 Kenneth Rottman was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 04, 2011PECOS Enrolled

2933 LAKE SHORE DR, LONG BEACH, IN 46360(219) 874-1076(219) 879-8030 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kenneth P Rottman D.d.s. NPPES

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

DR. KENNETH P ROTTMAN D.D.S. (NPI 1891091161) is an individual general practice provider in Long Beach, Indiana, licensed in Indiana (12009645A) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891091161

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH P ROTTMANCredential: D.D.S.

Location Address2933 LAKE SHORE DRLong Beach, IN 46360-1705

Mailing Address2933 Lake Shore DrLong Beach, IN 46360-1705 · (219) 874-1076 · Fax (219) 879-8030

Phone(219) 874-1076

Fax(219) 879-8030

Sole ProprietorYes

Enumeration DateFebruary 4, 2011

✔ NPI 1891091161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12009645A

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.

2933 LAKE SHORE DR, Long Beach, IN 46360

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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. Kenneth P Rottman 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 46360 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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 Kenneth Rottman's NPI number?

The NPI number for Kenneth Rottman is 1891091161. It was assigned to this individual provider in the NPPES registry on February 4, 2011.

Where is Kenneth Rottman located?

Kenneth Rottman practices at 2933 Lake Shore Dr, Long Beach, IN 46360. The listed phone number is (219) 874-1076.

What is Kenneth Rottman's specialty?

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

Is Kenneth Rottman enrolled in Medicare?

Yes. Kenneth Rottman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Rottman was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.