Joel Reed Rolfe, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6914 Issued in AZ

Practice address

306 E Monroe Ave
Buckeye, AZ 85326-2706

Phone

(623) 386-1630

Fax

(623) 386-1635

NPI assigned

Apr 3, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Mountain Ranch Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Goodyear, AZ
  • NPI 1235022278
  NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386766376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 S 217TH AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268044",
            "telephone_number": "623-327-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MONROE AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262706",
            "telephone_number": "623-386-1630",
            "fax_number": "623-386-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFE",
        "first_name": "JOEL",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "860377821",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183982",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luana Rodriguez, DNP, CNM, CCTP
• Rodtree Behavioral Health LLC
• Rodtree West
• Yvonne Roehr, MS, RDN
• Timothy Rogers, M.A.,LMFT
• Austin Rollins, DPM
• Blake A Romero
• Martin Romero Sr., DMD
• Rosann Julie Romero
• Root Canal Specialists of Arizona PLLC

• General Practice Dentistry in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.