Active NPI
Thomas Eugene Rollins, D.D.S.
- General Practice Dentistry
- Maple Heights, OH
National Provider Identifier
1659334811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18998
- Practice address
- 20508 Southgate Park Blvd
Maple Heights, OH 44137-2900 - Phone
- (216) 663-2292
- Fax
- (216) 663-2294
- NPI assigned
- Apr 10, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18998 | OH | Primary |
Addresses
Primary practice location
20508 Southgate Park Blvd
Maple Heights, OH 44137-2900
Mailing address
2385 Hillcrest LN
Parma, OH 44134-6514
Phone (440) 842-6021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341940255034 | Other | OH | CARESOURCE |
| 765748 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18998 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Dental DRS. Guren, Zeaman and Associates Inc. | General Practice | Past | Accepting new patients |
| Maple Heights Dental LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba North Coast Dental
- General Practice Dentistry
- Maple Heights, OH
- NPI 1568563302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1659334811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 HILLCREST LN",
"city": "PARMA",
"state": "OH",
"postal_code": "441346514",
"telephone_number": "440-842-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20508 SOUTHGATE PARK BLVD",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441372900",
"telephone_number": "216-663-2292",
"fax_number": "216-663-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "THOMAS",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "18998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341940255034",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765748",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.