NPIMap

Organization Active NPI

Roth, Powell Mann II DDS PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1053850974
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7026 Issued in NC
Legal business name
ROTH, POWELL MANN II DDS PA
Doing business as
carolina dental @ glenwood
Practice address
301 Glenwood Ave
Ste 210
Raleigh, NC 27603-2195
Phone
(919) 670-4944
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Christy Baldwin
Title
Coo
Phone
(919) 345-9511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7026 NC Primary

Addresses

Primary practice location

301 Glenwood Ave
Ste 210
Raleigh, NC 27603-2195

Mailing address

301 Glenwood Ave
Ste 210
Raleigh, NC 27603-2195
Phone (919) 670-4944

Other names 1

  • carolina dental @ glenwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Dental Glenwood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Glenwood Ave
Ste 210
Raleigh, NC 27603
Phone (919) 670-4944

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1053850974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GLENWOOD AVE",
            "address_2": "STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032195",
            "telephone_number": "919-670-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GLENWOOD AVE",
            "address_2": "STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032195",
            "telephone_number": "919-670-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH, POWELL MANN II DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "919-345-9511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "carolina dental @ glenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.