Individual provider Active NPI

Kathleen Marie Ihlendorf Rolfes, DMD

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1013246370
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61129 Issued in CA
Practice address
1405 Commercial Way Ste 140
Bakersfield, CA 93309-0626
Phone
(661) 404-4063
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61129 CA Primary

Addresses

Primary practice location

1405 Commercial Way Ste 140
Bakersfield, CA 93309-0626

Mailing address

6439 Mandy LN
Bakersfield, CA 93308-9763
Phone (661) 201-6037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61129CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Rolfes DMD, Inc. CurrentSince Aug 15, 2021 Accepting new patients

Locations

1405 Commercial Way
Ste 140
Bakersfield, CA 93309
Phone (661) 201-6037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1013246370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 MANDY LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089763",
            "telephone_number": "661-201-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COMMERCIAL WAY STE 140",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090626",
            "telephone_number": "661-404-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHLENDORF ROLFES",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.