Maxime Jean Marie Rolle, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

65119 Issued in CA

Practice address

25590 Prospect Ave Apt 18a
Loma Linda, CA 92354-3147

Phone

(909) 302-3869

NPI assigned

Oct 12, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1083085401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25967 REDLANDS BLVD APT D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738480",
            "telephone_number": "909-302-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25590 PROSPECT AVE APT 18A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543147",
            "telephone_number": "909-302-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "MAXIME",
        "middle_name": "JEAN MARIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Alan Roiz, M.D.
• Heather Lynn Rojas, MD
• Hugo Alfredo Rojas, M.D.
• Rachel Marie Rojas
• Sharon Rojas, FNP
• Pharez Dishon Rolle
• Melanie Roman, MD
• Samantha Romero Green
• Yajahira Yuremi Romero, MD
• Meditas L Romey

• Dentist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.