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Dr. Roger Lee Isaacs , DDS

Dentist β€’ Bloomington, IN

Deactivated NPI 1366565558 Deactivated in NPPES Male Practitioner
Practice location in NPPES

2959 N Ramble Rd W
Bloomington, IN 474081049

Phone: 8123398354

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 27, 2026; the reason is not published. The records below are historical. They do not show whether Dr. Roger Isaacs currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 10, 2007
NPI Deactivation Date August 27, 2026
NPI Active Period 2007 – 2026

Practice Location & Contact Primary Location

Practice Address

2959 N Ramble Rd W

Bloomington, IN 474081049

Telephone 8123398354

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Bloomington and Indiana

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES IN 12006608A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 27, 2026

NPPES lists this NPI as deactivated as of August 27, 2026; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 08, 2007

Registered at 2959 N RAMBLE RD W, BLOOMINGTON, IN 474081049 (Tel: 8123398354)

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Business Mailing Address (Initial Record) July 08, 2007

Registered at 2959 N RAMBLE RD W, BLOOMINGTON, IN 474081049 (Tel: 8123398354)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ROGER ISAACS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: IN 12006608A)

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Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366565558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: July 12, 2026
Deactivation Date: August 27, 2026
Sole Proprietor: Yes

Other Dentists in Bloomington

All Dentists in Bloomington

Mailing Address

2959 N Ramble Rd W

Bloomington, IN 474081049

Phone: 8123398354

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.