John Romulus DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN ROMULUS DDS PLLC

Practice address

988 Ocean Hwy W
Supply, NC 28462-4060

Phone

(910) 754-7850

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth McDonald

Title

Office Manager

Phone

(910) 754-7850

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Tylon Mintz, D.D.S.

  • General Practice Dentistry
  • Supply, NC
  • NPI 1700814563
  NPD (past)
• Caroline Moore Watts, DMD

  • General Practice Dentistry
  • Eastman, GA
  • NPI 1861953663
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1043872047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624060",
            "telephone_number": "910-754-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ROMULUS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-754-7850"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "supply@dynamicdentalnc.com",
            "affiliation": "N",
            "address_1": "988 Ocean Hwy W",
            "city": "Supply",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284624060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Instride Foot and Ankle Specialists, PLLC
• Integrated Pain Solutions PLLC
• Interim Healthcare of the Eastern Carolinas, Inc
• Laura Ann Ivey, PA-C
• Lisa M Jock
• Melissa Ann Johnson, LCSWA
• Amy Sue Kelly, PA-C
• Amy Christina Kibler, OTR/L
• Joseph F Kibler, DPM
• Jamie Lauren King Jones, CPT

• General Practice Dentistry in Supply, NC
• Providers in Supply, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.