Tyler Allen Rolland, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7429 Issued in OK

Practice address

1950 W Kenosha St
Broken Arrow, OK 74012-8944

Phone

(918) 518-1526

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1154996601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29200 S 4130 RD",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740156224",
            "telephone_number": "918-606-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128944",
            "telephone_number": "918-518-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLAND",
        "first_name": "TYLER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry A Rogan III, RPH
• Lauren Bailey Rogers
• Shawn Thomas Rogers
• Victoria Rose Rohloff
• Brenda Rojas
• Myles Rollerson
• Lindsay Brooke Roman, SLP
• Terry Robert Root, D.D.S.
• Rooted Health Primary Care, PLLC
• Rooted Remedies LLC

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.