Active NPI
Christy Kimbrough Rollofson, D.D.S.
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1033367263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57472
- Practice address
- 9727 Elk Grove Florin Road
Suite 270
Elk Grove, CA 95624 - Phone
- (916) 685-2105
- Fax
- (916) 714-1142
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57472 | CA | Primary |
Addresses
Primary practice location
9727 Elk Grove Florin Road
Suite 270
Elk Grove, CA 95624
Mailing address
9727 Elk Grove Florin Road
Suite 270
Elk Grove, CA 95624
Phone (916) 685-2105
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57472 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christy K. Rollofson, DDS, Inc | Past | Accepting new patients | |
| Roger J. Reich D.D.S. Inc. | General Practice | 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.
-
- Dental Clinic/Center
- Elk Grove, CA
- NPI 1063286144
-
- General Practice Dentistry
- Elk Grove, CA
- NPI 1770653404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1033367263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9727 ELK GROVE FLORIN ROAD",
"address_2": "SUITE 270",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624",
"telephone_number": "916-685-2105",
"fax_number": "916-714-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9727 ELK GROVE FLORIN ROAD",
"address_2": "SUITE 270",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624",
"telephone_number": "916-685-2105",
"fax_number": "916-714-1142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLOFSON",
"first_name": "CHRISTY",
"middle_name": "KIMBROUGH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.