Individual provider Active NPI

Roshanak Bankole, DMD

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1518630664
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106708 Issued in CA
Practice address
2110 Professional Dr Ste 115
Roseville, CA 95661-3778
Phone
(916) 783-5600
Fax
(916) 783-5614
NPI assigned
Jul 26, 2021
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106708 CA
General Practice Dentistry 1223G0001X 106708 CA Primary

Addresses

Primary practice location

2110 Professional Dr Ste 115
Roseville, CA 95661-3778

Mailing address

3633 Manzanola Way
Rancho Cordova, CA 95742-7846
Phone (916) 910-5186

Other practice location 1

3633 Manzanola Way
Rancho Cordova, CA 95742-7846
Phone (916) 910-5186

Other practice location 2

216 N Lincoln Way Ste 40
Galt, CA 95632-1715
Phone (209) 744-9955

Other names 1

  • Dr. Roshanak Jamalzadehsahrai Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106708CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roshanak Bankole, DDS. Inc Current Accepting new patients
Sheila N Harris, DDS Inc General Practice PastSince Aug 1, 2021 Accepting new patients
Amr Enaya, DDS, Inc Past Accepting new patients
Okhovat Professional Dental General Practice PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1518630664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 MANZANOLA WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427846",
            "telephone_number": "916-910-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PROFESSIONAL DR STE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613778",
            "telephone_number": "916-783-5600",
            "fax_number": "916-783-5614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3633 Manzanola Way",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "957427846",
            "country_code": "US",
            "telephone_number": "916-910-5186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 N Lincoln Way Ste 40",
            "address_purpose": "LOCATION",
            "city": "Galt",
            "state": "CA",
            "postal_code": "956321715",
            "country_code": "US",
            "telephone_number": "209-744-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKOLE",
        "first_name": "ROSHANAK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106708",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSHANAK",
            "last_name": "JAMALZADEHSAHRAI",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.