Active NPI
Suzette Rohrer, CDA
- Dental Assistant
- Winston Salem, NC
National Provider Identifier
1114067816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 144118
- Practice address
- 501 N Cleveland Ave
Suite 1
Winston Salem, NC 27101-4366 - Phone
- (336) 631-2330
- Fax
- (336) 631-2340
- NPI assigned
- Feb 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 144118 | NC | Primary |
Addresses
Primary practice location
501 N Cleveland Ave
Suite 1
Winston Salem, NC 27101-4366
Mailing address
7305 Oak Park CT
Pfafftown, NC 27040-9721
Phone (336) 922-9297
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 |
|---|---|---|---|
| 144118 | NC | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114067816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7305 OAK PARK CT",
"city": "PFAFFTOWN",
"state": "NC",
"postal_code": "270409721",
"telephone_number": "336-922-9297",
"fax_number": "336-631-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N CLEVELAND AVE",
"address_2": "SUITE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014366",
"telephone_number": "336-631-2330",
"fax_number": "336-631-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHRER",
"first_name": "SUZETTE",
"credential": "CDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "NC",
"license": "144118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
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.