Roam Dental Appliances LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ROAM DENTAL APPLIANCES LLC

Practice address

4536 Nelson Brogdon Blvd BLDG a
Buford, GA 30518-7516

Phone

(470) 412-5455

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ravi A Patel, DMDNPI 1326486333

Title

Owner

Phone

(317) 364-3740

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi A Patel, DMD

  • Dentist
  • Buford, GA
  • NPI 1326486333
  NPD Authorized official

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1073175691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 NELSON BROGDON BLVD BLDG A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305187516",
            "telephone_number": "470-412-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 NELSON BROGDON BLVD BLDG A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305187516",
            "telephone_number": "470-412-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAM DENTAL APPLIANCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-364-3740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinee Monique Riley, MD
• James B Riley, DMD
• Katelyn Elizabeth Riney
• Rite Aid
• Jennicele Rivas, APC
• Alexandra Bogle Roberts, MSN, FNP-C
• Danica Reese Robertson, PHARMD
• Walter F Roddy Jr., RNFA
• Jana M Rodgers, CCC-SLP
• Lissette M Rodriguez Figueredo

• Customized Equipment (DME) in Buford, GA
• Providers in Buford, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.