Individual provider Active NPI

Anlee M Rola

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1790781664
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M462 Issued in SD
Practice address
208 W 37TH St
Sioux Falls, SD 57105-5704
Phone
(605) 332-6377
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M462 SD Primary

Addresses

Primary practice location

208 W 37TH St
Sioux Falls, SD 57105-5704

Mailing address

208 W 37TH St
Sioux Falls, SD 57105-5704
Phone (605) 332-6377

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 17, 2016 through Mar 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M462SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anlee M. Rola, DDS General Practice Past Accepting new patients
Dakota Dental General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1790781664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055704",
            "telephone_number": "605-332-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055704",
            "telephone_number": "605-332-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLA",
        "first_name": "ANLEE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.