Individual provider Active NPI

Gerard Jari Rolle, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1033346903
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5637 Issued in AL
Practice address
859 Lomb Ave SW
Birmingham, AL 35211-1257
Phone
(205) 788-2124
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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 5637 AL Primary

Addresses

Primary practice location

859 Lomb Ave SW
Birmingham, AL 35211-1257

Mailing address

1755 15TH Ave S
Apt. #4
Birmingham, AL 35205-6200
Phone (256) 426-7260

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
5637ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ruffner Mountain Restoration Dental, LLC Current Accepting new patients
West Princeton Dental Clinic Past Accepting new patients

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1033346903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 15TH AVE S",
            "address_2": "APT. #4",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352056200",
            "telephone_number": "256-426-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 LOMB AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111257",
            "telephone_number": "205-788-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "GERARD",
        "middle_name": "JARI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.