MICHAEL K. ROLLERT, DDS, LLC (NPI# 1568752426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568752426 |
| Entity Type | Organization |
| Organization Name | MICHAEL K. ROLLERT, DDS, LLC |
| Practice Address |
2372 S Humboldt St Denver CO 80210-5113 |
| Practice Telephone | 3035035039 |
| Mailing Telephone | 3035035039 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | DR. MICHAEL KENT ROLLERT (OWNER) |
| Authorized Official Telephone | 3035035039 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7699 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | CB1865 | 01 |
| Street Address |
2372 S HUMBOLDT ST |
| City | DENVER |
| State | CO |
| Zip Code | 80210-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408360 | Carley Danielle Westerson | Counselor | 290 North Williams Street, Room #205, Denver, CO 80210 | 2019-10-14 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1922665975 | Amy Welsh, Inc | Occupational Therapist | 1588 S Logan St, Denver, CO 80210 | 2019-05-24 |
| 1598328346 | Heather Lynn Stone | Social Worker | 950 E Porter Avenue #670, Denver, CO 80210 | 2019-04-17 |
| 1669952909 | Christopher G. Sharrow | Social Worker | 1777 S. Harrison St., Suite 1200, Denver, CO 80210 | 2018-08-16 |
| 1922598952 | Rebecca Turlo | Hearing Instrument Specialist | 950 E Harvard Ave Ste E620, Denver, CO 80210 | 2018-05-15 |
| 1215446083 | Alex James Koch | Acupuncturist | 1110 E Evans Ave, Denver, CO 80210 | 2017-09-25 |
| 1043738495 | Sarah Urycki | Counselor | 2317 A S Race Street, Denver, CO 80210 | 2017-09-06 |
| 1770032641 | The Young Men's Christian Association of Metropolitan Denver | Health Educator | 3901 E Yale Ave, Denver, CO 80210 | 2016-10-03 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| Find all providers in zip 80210 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1407215205 | John P Evanson | Dentist | 839 Kearney St, Denver, CO 80220-4523 | 2016-02-22 |
| 1003220260 | Michael Woodbeck | Dentist | 1707 Chestnut Pl Apt 621, Denver, CO 80202-6505 | 2014-06-16 |
| 1326277906 | John Robert Nesiba | Dentist | 13701 E Mississippi Ave Ste 300, Denver, CO 80012 | 2009-07-05 |
| 1609027556 | Brian Fangman | Dentist | 1440 Blake St Ste 100, Denver, CO 80202-1475 | 2008-10-08 |
| 1790942829 | Anne Lorraine Stearns | Dentist | 1900 Little Raven St Apt 412, Denver, CO 80202-7173 | 2008-05-16 |
| 1245384304 | Cecil Bottenbley | Dentist | 1776 Lincoln St, Suite #820, Denver, CO 80203-1022 | 2007-01-23 |
| 1477621845 | Michael P Cosby | Dentist | 180 Adams St Ste 100, Denver, CO 80206-5222 | 2006-12-01 |
| 1366553596 | Martin S Siparsky | Dentist | 155 Cook St Ste 241, Denver, CO 80206-5316 | 2006-08-31 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.