Doctor profile · Federal record
Dr. Peter Roukema, D.M.D.
General Practice Dentistry · Dentist · Pagosa Springs, CO
- NPI 1457525263
- 18 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
228 Village Dr
Pagosa Springs, CO 811478308
(970) 731-2126 - Additional location
-
6400 Central Ave Sw
Albuquerque, NM 871052033
(505) 836-0322 - Mailing address
-
115 Harebell Dr
Pagosa Springs, CO 811477721
Credentials & registration
- NPI registered
- April 2008 — 18 yrs on file
- Profile last updated
- February 4, 2022
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Colorado #10054 · New Mexico #DD3069
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457525263. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $18.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
89
Patients
77
Total drug cost
$323
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 46 | 40 | $153 |
| Ibuprofen | Generic | 24 | 22 | $90 |
| Chlorhexidine Gluconate | Generic | 19 | 15 | $80 |
Frequently asked questions
What is Dr. Peter Roukema's medical specialty?
Dr. Peter Roukema practices General Practice Dentistry in Pagosa Springs, CO.
Where does Dr. Peter Roukema practice?
Dr. Peter Roukema practices at 228 Village Dr, Pagosa Springs, CO 811478308. Office phone: 9707312126.
What is Dr. Peter Roukema's NPI?
Dr. Peter Roukema's National Provider Identifier (NPI) is 1457525263, issued by NPPES.