Samantha F Rolen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6311 Issued in AL

Practice address

4730 Woodmere Blvd
Montgomery, AL 36106-3065

Phone

(334) 277-5665

NPI assigned

Apr 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burntshirt LLC

  • Dental Clinic/Center
  • Montgomery, AL
  • NPI 1023976560
  NPD Authorized official
• GD Al SDR PLLC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1255033007
  NPD
• Steineker & Dillon PC

  • Dentist
  • Montgomery, AL
  • NPI 1063523504
  NPD (past)
• Linda Munro Psy D PA

  • Military Hospital
  • Robins Afb, GA
  • NPI 1689886137
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1790217263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PINENEEDLE RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 WOODMERE BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063065",
            "telephone_number": "334-277-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 California Ave",
            "address_purpose": "LOCATION",
            "city": "Joint Base Andrews",
            "state": "MD",
            "postal_code": "20762",
            "country_code": "US",
            "telephone_number": "240-857-5029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 South 7th Street BLDG 700/700-A",
            "address_2": "78 MDG/SGPD",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "31098",
            "country_code": "US",
            "telephone_number": "478-327-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLEN",
        "first_name": "SAMANTHA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6311",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F Rogers, LMT, RNBSN
• Mary Kathryn Rogers, DPT
• William N Rogers III, MD
• Renee Jacobs Rohan, M.ED.
• Maria Belen Rojas Gallegos, M.D.
• Michelle L Roll, CRNA
• Jessica Rollins, CRNP
• Carlos David Roman-Diaz
• Jason Paul Rome, PHARMD
• Ronald Barganier, DMD

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.

Verify at the official NPI Registry.