Michelle Rollman

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5486-16 Issued in WI

Practice address

128 Old Abe Rd
Lac Du Flambeau, WI 54538-9386

Phone

(715) 588-4269

NPI assigned

Apr 18, 2014

Last updated

Apr 18, 2014By the provider in NPPES

Sex

Female

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

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1346660297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 EDGEWOOD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544765113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OLD ABE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389386",
            "telephone_number": "715-588-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLMAN",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5486-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Ninham, MSE
• Amber A. Paczkowski, SAC-IT
• Lauren Peabody McFarlane, DMD
• Robert R Polfus, MA
• Sara L Rausch, MS, CCC-SLP
• Carmen E Salinas, RDH
• Brian D Schafer, R.PH.
• Michele E Schenk, MA, CP, CSAC
• Ann M Schmitz, RDH
• John Sargent Sholl, MD

• Dental Hygienist in Lac Du Flambeau, WI
• Providers in Lac Du Flambeau, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.