Individual provider Active NPI

Robert Tasca

  • General Practice Dentistry
  • Greenville, NC
National Provider Identifier
1033224209
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12684 Issued in NC
Practice address
261 Belvoir Hwy
Greenville, NC 27834-8193
Phone
(252) 695-6355
NPI assigned
Aug 20, 2006
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047744-1 NY
General Practice Dentistry 1223G0001X 12684 NC Primary

Addresses

Primary practice location

261 Belvoir Hwy
Greenville, NC 27834-8193

Mailing address

7 Professional Dr
Snow Hill, NC 28580-1332
Phone (252) 747-8162

Other practice location 1

110 W 97th St
New York, NY 10025-6450
Phone (212) 316-7923

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
047744-1NYMDDentist
047744NYMDPhysical Therapist
12684NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1033224209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801332",
            "telephone_number": "252-747-8162",
            "fax_number": "252-747-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BELVOIR HWY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348193",
            "telephone_number": "252-695-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 97th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256450",
            "country_code": "US",
            "telephone_number": "212-316-7923",
            "fax_number": "212-316-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASCA",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047744-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.