Active NPI
Roll'N 2 Success
- Community/Behavioral Health Agency
- Wilson, NC
National Provider Identifier
1104155845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ROLL'N 2 SUCCESS
- Practice address
- 106 Jackson St NE
A
Wilson, NC 27893-3810 - Phone
- (919) 824-9506
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Garry Oden Jr.
- Title
- Owner
- Phone
- (919) 824-9506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
106 Jackson St NE
A
Wilson, NC 27893-3810
Mailing address
1621 Beacon Village Dr
Raleigh, NC 27604-8505
Phone (919) 824-9506
National Provider Directory
National Provider DirectoryLocations
106 Jackson St NE
#A
Wilson, NC 27893
Phone (919) 824-9506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1104155845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 BEACON VILLAGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276048505",
"telephone_number": "919-824-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 JACKSON ST NE",
"address_2": "A",
"city": "WILSON",
"state": "NC",
"postal_code": "278933810",
"telephone_number": "919-824-9506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLL'N 2 SUCCESS",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "ODEN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "GARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-824-9506",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.