Matthew Rohlf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14439 Issued in MN

Practice address

5378 E Viking Blvd
Wyoming, MN 55092

Phone

(651) 462-5150

NPI assigned

Jul 20, 2020

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

Medicare enrollment (NPD)

Not 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.

• Wyoming Dental LLC

  • Dentist
  • Wyoming, MN
  • NPI 1437882354
  NPD Authorized official
• Wyoming Family Dental

  • General Practice Dentistry
  • Wyoming, MN
  • NPI 1821696022
  NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1851909436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 5TH ST E APT 610",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012591",
            "telephone_number": "563-340-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 E VIKING BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "55092",
            "telephone_number": "651-462-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLF",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hafsa Qureshi, OTR/L
• Carolyn Renard
• Jeffrey Scott Renwick, MS, LICSW
• Scott C Repa, DO
• Raquel Christine Robinson, HIS
• Rolseth Drug Co
• Rolseth Drug Co
• Paul Christian Rondestvedt, MD
• Kevin Ronneberg, MD
• Suzanne S Rusk, PNP

• Dentist in Wyoming, MN
• Providers in Wyoming, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.