Roanoke Oral Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401004673 Issued in VA

Legal business name

ROANOKE ORAL SURGERY, INC.

Practice address

6027 Peters Creek Rd
Roanoke, VA 24019-4029

Phone

(540) 362-5900

Fax

(540) 366-5131

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James T. McClung Jr., DDS

Title

President

Phone

(540) 362-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

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

• Albert W Parulis Jr., DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Roanoke, VA
  • NPI 1003886912
  Medicare reassignment Care Compare group NPD
• Nicole Marie Reddout, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Norfolk, VA
  • NPI 1790001436
  Medicare reassignment Care Compare group NPD
• Kaine Kenneth Swenson Stokes, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Roanoke, VA
  • NPI 1326236845
  Medicare reassignment Care Compare group NPD
• Jason Isaac Margolis, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • St. Louis, MO
  • NPI 1437315702

  VA

  Medicare reassignment Care Compare group NPD
• Larry Richard Meador, DDS

  • Dentist
  • Roanoke, VA
  • NPI 1598729261

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1104007384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7889",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240190889",
            "telephone_number": "540-362-5900",
            "fax_number": "540-366-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194029",
            "telephone_number": "540-362-5900",
            "fax_number": "540-366-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE ORAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-362-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401004673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roanoke Family Medicine Inc
• Roanoke Heart Institute PLC
• Roanoke Imaging LLC
• Roanoke Neurological Associates
• Roanoke Neurosurgery, LLC
• Roanoke Orthopaedic Center, Inc.
• Roanoke Orthopaedic Center, Inc.
• Roanoke Orthopaedic Center, Inc.
• Roanoke Orthopedic Appliance Co Inc
• Roanoke Partners in Health, PC

• Oral and Maxillofacial Surgery (Dentist) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.