Michael K Rollert, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7699 Issued in CO

Practice address

2750 E 136TH Ave Ste 101
Thornton, CO 80241-3530

Phone

(720) 452-2144

Fax

(303) 379-9051

NPI assigned

Apr 18, 2006

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rocky Mountain Oral & Maxillofacial Surgery, Prof LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Thornton, CO
  • NPI 1366126583
  NPD Authorized official
• Rocky Mountain Oral & Maxillofacial Surgery, Prof LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lone Tree, CO
  • NPI 1518744416
  NPD Authorized official
• Rocky Mountain Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Littleton, CO
  • NPI 1063534642
  NPD (past) Authorized official

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1255396768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E 136TH AVE STE 101",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413530",
            "telephone_number": "720-452-2144",
            "fax_number": "303-379-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E 136TH AVE STE 101",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413530",
            "telephone_number": "720-452-2144",
            "fax_number": "303-379-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLERT",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "7699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Marie Rohena
• Sarah N Rohrback, MSN, RN, CEN
• Kimberly Rohrs, MA
• Zoe Rolfe
• Owen Mackenzie Roll, PTA
• Rachael A Rome, MA, CCC-SLP
• Alicia Elizabeth Romero
• Lindsay Spangler Romero, M.S., CCC-SLP
• Melissa Romero
• Amanda M Rose

• Oral and Maxillofacial Surgery (Dentist) in Thornton, CO
• Providers in Thornton, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.