Active NPI
Paul Rolfes, DDS
- Dentist
- Pensacola, FL
National Provider Identifier
1942728803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13818
- Practice address
- 450 Turner St Ste a
Pensacola, FL 32508-5276 - Phone
- (850) 452-5206
- NPI assigned
- Aug 31, 2017
- Last updated
- Aug 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13818 | MN | Primary |
Addresses
Primary practice location
450 Turner St Ste a
Pensacola, FL 32508-5276
Mailing address
1842 Wellesley Ave
Saint Paul, MN 55105-1615
Phone (651) 592-8064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13818 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1942728803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 WELLESLEY AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051615",
"telephone_number": "651-592-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 TURNER ST STE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325085276",
"telephone_number": "850-452-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLFES",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.