Organization Active NPI

Thomas J. Rolfes DDS,Fagd,Inc

  • Dentist
  • Costa Mesa, CA
National Provider Identifier
1730224957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32498 Issued in CA
Legal business name
THOMAS J. ROLFES DDS,FAGD,INC
Practice address
1530 Baker St
Suite J
Costa Mesa, CA 92626-3752
Phone
(714) 557-0700
Fax
(714) 557-1810
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Joseph Rolfes, D.D.S.NPI 1639124860
Title
President
Phone
(714) 557-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32498 CA Primary

Addresses

Primary practice location

1530 Baker St
Suite J
Costa Mesa, CA 92626-3752

Mailing address

1530 Baker St
Suite J
Costa Mesa, CA 92626-3752
Phone (714) 557-0700

National Provider Directory

National Provider Directory

Locations

1530 Baker St
Ste J
Costa Mesa, CA 92626
Phone (714) 557-0700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730224957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BAKER ST",
            "address_2": "SUITE J",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263752",
            "telephone_number": "714-557-0700",
            "fax_number": "714-557-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BAKER ST",
            "address_2": "SUITE J",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263752",
            "telephone_number": "714-557-0700",
            "fax_number": "714-557-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. ROLFES DDS,FAGD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLFES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-557-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.