Ronald L. Roholt, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

60343 Issued in KS

Practice address

311 Campus Drive
Suite 101
Garden City, KS 67846

Phone

(620) 272-0100

Fax

(620) 271-0160

NPI assigned

Jan 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 7, 2012 through Feb 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Canterbury Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Hays, KS
  • NPI 1033127485
  NPD (past)
• Potter Plastic & Reconstructive Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Hays, KS
  • NPI 1215314380
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1629057088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMPUS DRIVE",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-272-0100",
            "fax_number": "620-271-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMPUS DRIVE",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-272-0100",
            "fax_number": "620-271-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHOLT",
        "first_name": "RONALD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Roberts, DNP, NNP-BC
• Rocky Mountain Holdings, LLC
• Fernando Rodriguez-Infante, LMFT
• Lorena Noemy Rodriguez
• Linda Roemer, RN
• Sarah Romine
• Ronda McFadden DDS, LLC
• Jaymie Suanne Ruder, LAT, ATC
• Dee Francis Rupp, DC
• Russell Child Development

• Oral and Maxillofacial Surgery (Dentist) in Garden City, KS
• Providers in Garden City, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.