NPIMap

Organization Active NPI

David H. Roholt, D.D.S., Inc.

Doing business as Pier 210 Dental Group

  • Dentist
  • Auburn, CA
National Provider Identifier
1023197019
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37600 Issued in CA
Legal business name
DAVID H. ROHOLT, D.D.S., INC.
Doing business as
Pier 210 Dental Group
Practice address
635 Mikkelsen Dr.
Auburn, CA 95603
Phone
(530) 885-5696
Fax
(530) 885-5698
NPI assigned
Nov 2, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. David H Roholt, D.D.S.NPI 1184945073
Title
President
Phone
(530) 885-5696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37600 CA Primary

Addresses

Primary practice location

635 Mikkelsen Dr.
Auburn, CA 95603

Mailing address

635 Mikkelsen Dr.
Auburn, CA 95603
Phone (530) 885-5696

Other names 1

  • Pier 210 Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

210 Lincoln Way
Auburn, CA 95603
Phone (530) 885-5696

635 Mikkelsen Dr
Auburn, CA 95603
Phone (530) 885-5696

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1023197019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MIKKELSEN DR.",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-885-5696",
            "fax_number": "530-885-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MIKKELSEN DR.",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-885-5696",
            "fax_number": "530-885-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. ROHOLT, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "ROHOLT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-885-5696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pier 210 Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.