Individual Healthcare Provider
Alexa Brady Ellingsen Roehrig, DDS
Provider's NPPES record last updated: September 5, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1962992834
- Primary Specialty
- Dentist — General Practice
- Practice Location
- De Witt, New York
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 9:39 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
General Practice
Dental Providers
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.
Taxonomy code 1223G0001X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Dentist (New York)
- 060673-01
Practice Locations
Practice Location
3425 Erie Blvd E
De Witt, New York 13214-1635
Phone: (315) 445-9400
Additional Practice Location
8057 Brewerton Rd
Cicero, New York 13039-9585
Phone: (315) 698-0040
Additional Practice Location
4001 N Cook St
Spokane, Washington 99207-5879
Phone: (509) 326-4343
Record Information
- Enumeration Date
- May 15, 2018
- Provider's NPPES Record Last Updated
- September 5, 2019
- NPISignal NPPES Dataset
- August 2026
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