NPIMap

Organization Active NPI

Christy K. Rollofson, DDS, Inc

  • Dental Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1063286144
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRISTY K. ROLLOFSON, DDS, INC
Practice address
9727 Elk Grove Florin Rd Ste 270
Elk Grove, CA 95624-2290
Phone
(916) 685-2105
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Sandra Fouladi, DDSNPI 1174723449
Title
Dentist
Phone
(916) 685-2105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9727 Elk Grove Florin Rd Ste 270
Elk Grove, CA 95624-2290

Mailing address

9727 Elk Grove Florin Rd Ste 270
Elk Grove, CA 95624-2290
Phone (916) 685-2105

Other names 1

  • Elk Grove Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9727 Elk Grove Florin Rd
Ste 270
Elk Grove, CA 95624
Phone (916) 685-2105

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1063286144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD STE 270",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242290",
            "telephone_number": "916-685-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD STE 270",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242290",
            "telephone_number": "916-685-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY K. ROLLOFSON, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "FOULADI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-685-2105",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Grove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elk Grove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2024; 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.