Active NPI
Daniel Rolotti, DMD
- Periodontics
- New London, CT
National Provider Identifier
1578995056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12511
- Practice address
- 190 Hempstead St
New London, CT 06320-6248 - Phone
- (860) 443-2428
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12511 | CT | Primary |
Addresses
Primary practice location
190 Hempstead St
New London, CT 06320-6248
Mailing address
535 Saybrook Rd
Middletown, CT 06457-4743
Phone (860) 346-9665
Other practice location 1
520 Saybrook Rd Ste 200
Middletown, CT 06457-4700
Phone (860) 346-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718000885 | CT | Order and Referring Only - Dentist | 9931434578 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1578995056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574743",
"telephone_number": "860-346-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 HEMPSTEAD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206248",
"telephone_number": "860-443-2428"
}
],
"practiceLocations": [
{
"address_1": "520 Saybrook Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064574700",
"country_code": "US",
"telephone_number": "860-346-0330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLOTTI",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": "12511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.