Steven B. Roholt, DDS, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1307 Issued in NM

Legal business name

STEVEN B. ROHOLT, DDS, PC

Practice address

10151 Montgomery Blvd NE
Suite 2-D
Albuquerque, NM 87111-3670

Phone

(505) 292-3400

Fax

(505) 292-7124

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven B RoholtNPI 1174512297

Title

President

Phone

(505) 292-3400

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Roholt, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1174512297
  NPD (past) Authorized official
• Travis C. Rudd, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1255579264
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427004340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 MONTGOMERY BLVD NE",
            "address_2": "SUITE 2-D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113670",
            "telephone_number": "505-292-3400",
            "fax_number": "505-292-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 MONTGOMERY BLVD NE",
            "address_2": "SUITE 2-D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113670",
            "telephone_number": "505-292-3400",
            "fax_number": "505-292-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN B. ROHOLT, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROHOLT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-292-3400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sternenberg, FNP-BC
• Jessica Mary Elizabeth Sterner
• Tiffani Steskal
• Bonnie Stetson, PH.D.
• Victoria L Stetson, CNM
• Steven D Hsi, MD, PC (Rio Grande Family Medicine)
• Steven E. Holbrook, DMD,PC.
• Steven G Tolber MD PA
• Steven K Baum
• Stevens Medical Center Inc

• Oral and Maxillofacial Surgery (Dentist) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.