Active NPI
Cathy Zoe Ford, DDS
- Dentist
- Rocky Mount, VA
National Provider Identifier
1073611422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401005503
- Practice address
- 490 S Main Street
Suite 201
Rocky Mount, VA 24151 - Phone
- (540) 483-5241
- Fax
- (540) 484-1121
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401005503 | VA | Primary |
Addresses
Primary practice location
490 S Main Street
Suite 201
Rocky Mount, VA 24151
Mailing address
5119 Elk Hill Dr
Roanoke, VA 24018-8616
Phone (540) 989-5588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802749 | Medicaid | VA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401005503 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Dental Associate | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Rocky Mount, VA
- NPI 1619143450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073611422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 ELK HILL DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240188616",
"telephone_number": "540-989-5588",
"fax_number": "540-484-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 S MAIN STREET",
"address_2": "SUITE 201",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "24151",
"telephone_number": "540-483-5241",
"fax_number": "540-484-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CATHY",
"middle_name": "ZOE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401005503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7802749",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, VA
- Michael Dale Fitzgerald Jr.
- Andrea Tennille Fizzano
- Monica A Flora, LPC
- Kimberly Florio, PHARMD
- Tosha Marie Foley, LPC
- Mallory Fralin, PHARMD
- Franklin Co Board of Supervisors (Franklin County Public Safety)
- Franklin County Counseling Center, LLC
- Franklin County Department of Aging Services
- Franklin County Perinatal Education Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.