Active NPI
Marcelo Alejandro Roldan, DMD
- Dentist
- Avondale, AZ
National Provider Identifier
1033044680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012856
- Practice address
- 10112 W McDowell Rd
Avondale, AZ 85392-4841 - Phone
- (844) 768-7107
- NPI assigned
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D012856 | AZ | Primary |
Addresses
Primary practice location
10112 W McDowell Rd
Avondale, AZ 85392-4841
Mailing address
10112 W McDowell Rd
Avondale, AZ 85392-4841
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1033044680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10112 W MCDOWELL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10112 W MCDOWELL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924841",
"telephone_number": "844-768-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "MARCELO",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.