Individual provider Active NPI

Matthew Rolfes, D.M.D

  • General Practice Dentistry
  • Vero Beach, FL
National Provider Identifier
1013393800
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21328 Issued in FL
Practice address
1625 20TH St
Vero Beach, FL 32960-3565
Phone
(772) 567-7889
NPI assigned
Aug 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21328 FL Primary

Addresses

Primary practice location

1625 20TH St
Vero Beach, FL 32960-3565

Mailing address

1100 Ibis Ave
Fort Pierce, FL 34982-8317
Phone (772) 370-2814

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
DN21328FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rolfes Dental PLLC General Practice CurrentSince Oct 1, 2023 Accepting new patients
Denise M Pieczynski, DMD, PA PastSince Oct 1, 2023 Accepting new patients

Locations

1625 20th St
Vero Beach, FL 32960
Phone (772) 567-7889

Organizations & group practices 2

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1013393800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 IBIS AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828317",
            "telephone_number": "772-370-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603565",
            "telephone_number": "772-567-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFES",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.