Rolando Andre Prado, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4245 Issued in NC

Practice address

2401 Wooten Blvd SW Ste F
Wilson, NC 27893-4464

Phone

(252) 291-4300

Fax

(252) 291-2337

NPI assigned

Dec 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rolando a. Prado, DDS, Ms, PA

  • Pediatric Dentistry
  • Wilson, NC
  • NPI 1558562231
  Authorized official Same address or phone
• Wilson Pediatric Dentistry

  • Pediatric Dentistry
  • Wilson, NC
  • NPI 1750723987
  Authorized official Same address or phone

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003978750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-4300",
            "fax_number": "252-291-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-4300",
            "fax_number": "252-291-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "ROLANDO",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCHC DENTAL SERVICE",
            "identifier": "97060",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997060",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Hall Pope
• Port Human Services
• Positive Life Styles
• Betty J Powell, CFTS
• Christina Gurley Poythress, PA-C
• Sunil K Prakash Chand, M.D
• Precious Cargo Services LLC
• Premise Health of North Carolina Medical PC (Knoa Pharma Health Center Wilson)
• Premise Health of North Carolina Medical PC (Truist Wilson)
• Taylor Prescott

• Pediatric Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.