OrganizationActive
Theodora Kk Rogers, DDS, PC
NPI 1013369115 · Dental Clinic/Center · Fulton, MO
Theodora Kk Rogers, DDS, PC is a Dental Clinic/Center organization in Fulton, MO (NPI 1013369115).
Provider details
- NPI number
- 1013369115
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teddy Rogers, Director(816) 572-1973
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Bluff St
Fulton, MO 65251-2321
Phone: (573) 642-7234
Street-level locationGet directions
Mailing address
505 Preakness Dr
Raymore, MO 64083-8472
Other names (DBA / former)
- Doing business as
- Gray Duck Dentistry
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2016-07-13
Frequently asked questions
- What is Theodora Kk Rogers, DDS, PC's NPI number?
- Theodora Kk Rogers, DDS, PC's National Provider Identifier (NPI) is 1013369115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theodora Kk Rogers, DDS, PC?
- Theodora Kk Rogers, DDS, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Theodora Kk Rogers, DDS, PC located?
- Theodora Kk Rogers, DDS, PC's practice location on file with NPPES is 1000 Bluff St, Fulton, MO 65251-2321.
- What is Theodora Kk Rogers, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Theodora Kk Rogers, DDS, PC is (573) 642-7234.
- Who is the authorized official for Theodora Kk Rogers, DDS, PC?
- The authorized official listed on Theodora Kk Rogers, DDS, PC's NPPES record is Teddy Rogers, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theodora Kk Rogers, DDS, PC's NPI active?
- Yes — Theodora Kk Rogers, DDS, PC's NPI (1013369115) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.