Christopher Angelo Rotolo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.023256 Issued in OH

Practice address

620 Ridgewood Xing
Fairlawn, OH 44333-3531

Phone

(330) 376-9492

NPI assigned

May 16, 2011

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

Enrolled in OH

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

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1942593553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 RIDGEWOOD XING",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333531",
            "telephone_number": "330-376-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 RIDGEWOOD XING",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333531",
            "telephone_number": "330-376-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTOLO",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Rosenberg
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• Kelley Kaye Ross-Hopkins, LCDCIII
• Roth Family Medicine,LTD.
• Marta B Roth, MD
• Cassandra Rose Rubino, SLP
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• James Edward Ruch, D.C.
• Salvatore M Ruggeri, SWT
• Kimberly Russ

• Dentist in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.