Silviano Joseph Mastromarino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12022 Issued in NC

Practice address

2064 NC Highway 125
Roanoke Rapids, NC 27870-9436

Phone

(252) 536-5880

Fax

(252) 536-2708

NPI assigned

Mar 18, 2019

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783
  Medicare reassignment NPD
• Advance Community Health, Inc

  dba Advance Community Health - Mobile Services

  • Federally Qualified Health Center (FQHC)
  • Cary, NC
  • NPI 1952760290
  Medicare reassignment NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Jackson

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1689626178
  Medicare reassignment NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Fuquay Varina, NC
  • NPI 1114913092
  NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Louisburg, NC
  • NPI 1497918338
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Henderson

  • Federally Qualified Health Center (FQHC)
  • Henderson, NC
  • NPI 1124269022
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Jackson/Dental

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1598893547

  General Practice

  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Roanoke Rapids/Dental

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1669500997

  General Practice

  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Roanoke Rapids

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1720030232
  NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1073072245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 PINE TREE LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046591",
            "telephone_number": "919-999-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709436",
            "telephone_number": "252-536-5880",
            "fax_number": "252-536-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Bloomingdale Ave",
            "address_purpose": "LOCATION",
            "city": "Federalsburg",
            "state": "MD",
            "postal_code": "216321012",
            "country_code": "US",
            "telephone_number": "410-754-7583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTROMARINO",
        "first_name": "SILVIANO",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijayalakshmi Mamedi, M.D.
• Natarajan Manickam, MD
• Nikta Mansouri
• Gerardo Marcial Maradiaga, MD
• Sarah C Massey, FNP
• Jennifer Tetterton May, ANP
• Teresa C Mayle, MSRC, LPCA
• Brian Lanier Maynor, DDS
• Starr Monique McCall
• Willard L McCloud Jr., MD

• General Practice Dentistry in Roanoke Rapids, NC
• Providers in Roanoke Rapids, 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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.