DR. RONALD L. ROHOLT (NPI# 1629057088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629057088 |
| Entity Type | Individual |
| Full Name | DR. RONALD L. ROHOLT |
| Credential | DDS, MD |
| Practice Address |
311 Campus Drive Suite 101 Garden City KS 67846 |
| Practice Telephone | 6202720100 |
| Practice Fax Number | 6202710160 |
| Mailing Telephone | 6202720100 |
| Mailing Fax Number | 6202710160 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
60343 | KS | Dental Providers |
| Street Address |
311 CAMPUS DRIVE SUITE 101 |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386963718 | Melissa Mae Moutray | Oral & Maxillofacial Surgery | 311 Campus Drive, Suite 101, Garden City, KS 67846 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| 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 |
|---|---|---|---|---|
| 1184081960 | James Pezzollo | Dentist | 601 Franklin Ave Ste 110, Garden City, NY 11530-5760 | 2016-01-25 |
| 1508195975 | Rodney Rastegar Dds Pllc | Dentist | 601 Franklin Ave, Suite 110, Garden City, NY 11530 | 2009-12-15 |
| 1265625537 | Petros Panagos | Dentist | 601 Franklin Ave, Suite 101, Garden City, NY 11530-5795 | 2007-08-21 |
| 1275672578 | Louie F. Peede Jr. | Dentist | 801 North Main Street, Garden City, KS 67846 | 2007-02-05 |
| 1063503670 | Eugene P Pezzollo | Dentist | 601 Franklin Ave, St 110, Garden City, NY 11530-5795 | 2006-09-27 |
| 1982795506 | Rodney Rastegar | Dentist | 601 Franklin Ave, St 210, Garden City, NY 11530-5795 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362638 | Philip J Gordon Dds Pa | Dentist | 3628 W 95th St, Leawood, KS 66206-2035 | 2020-07-02 |
| 1902170483 | Matthew C. Lowe Dds Inc | Dentist | 2711 S. Rouse St., Ste A, Mt. Carmel Plaza, Pittsburg, KS 66762 | 2012-03-01 |
| 1639449259 | John R Provenzano Dds,pa | Dentist | 1515 S Clifton Ave Ste 120, Wichita, KS 67218-2951 | 2012-01-12 |
| 1013220813 | Kenneth W. Nelson, Dds, Pa | Dentist | 1919 N. Webb Rd, Wichita, KS 67206-3405 | 2010-07-21 |
| 1699099465 | Mohammad Nomani | Dentist | 4201 Anderson Ave Ste E, Manhattan, KS 66503-7603 | 2010-03-22 |
| 1114162104 | Midwest Oral & Maxillofacial Surgery, Pa | Dentist | 11551 Granada Lane, 100, Leawood, KS 66211-1914 | 2008-12-05 |
| 1578724225 | Matthew C. Lowe, Dds, PC | Dentist | 2711 S Rouse St Ste A, Pittsburg, KS 66762-6621 | 2008-06-24 |
| 1144403536 | Brendan Bell | Dentist | 2004 Clock Tower Plz # 130, Manhattan, KS 66503-6403 | 2007-12-10 |
| 1114106739 | S Kirk Vincent D.d.s., L.c. | Dentist | 4811 Bob Billings Parkway, Suite A, Lawrence, KS 66049 | 2007-10-31 |
| 1992843510 | Richard Martin Oakley | Dentist | 5811 Nall Ave, Mission, KS 66202-2731 | 2007-02-03 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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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.