Isolde Gina Rojas-Rudolph, DDS, PHD

Primary specialty

DentistTaxonomy code 122300000X

License

000081-1 Issued in NY

Practice address

325 Squire Hall
Buffalo, NY 14214-8006

Phone

(716) 829-2836

Fax

(716) 833-3517

NPI assigned

Apr 25, 2018

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Isolde Gina Rojas Rudolph Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Dental Clinic/Center
  • Buffalo, NY
  • NPI 1861551798
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1437647419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148006",
            "telephone_number": "716-829-3845",
            "fax_number": "716-829-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148006",
            "telephone_number": "716-829-2836",
            "fax_number": "716-833-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS-RUDOLPH",
        "first_name": "ISOLDE",
        "middle_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "000081-01",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "000081-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR DENTIST AS DENTAL FACULTY",
            "identifier": "000081-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER AT THE UNIVERSITY AT BUFFALO SCHOOL OF DENTAL MEDICINE",
            "identifier": "774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISOLDE",
            "last_name": "ROJAS RUDOLPH",
            "middle_name": "GINA",
            "credential": "DDS, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cecilia Rogovin, CNM
• Kenneth Rogoza
• Ruth Marie Rohl, RN ANP
• Samantha Lyn Rohloff
• Bernhard John Rohrbacher, MD
• Denise Ann Rokitka, MD
• Donna M Rokitka, CDA
• Bibi Roksana
• Todd Allen Roland, PA-C
• Bonnie A. Roll, BA

• Dentist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.