Individual provider Active NPI

Christy Kimbrough Rollofson, D.D.S.

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1033367263
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57472 Issued in CA
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

Updated by the provider on Aug 29, 2008

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 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

LicenseStateTypeSpecialty
57472CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christy K. Rollofson, DDS, Inc PastSince Nov 12, 2023 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.

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.

Verify at the official NPI Registry.