Individual provider Active NPI

Chrystal T Rooks, D.D.S.

  • General Practice Dentistry
  • Pink Hill, NC
National Provider Identifier
1154528602
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC8443 Issued in NC
Practice address
303 E Broadway St
Pink Hill, NC 28572-8045
Phone
(252) 568-3711
Fax
(252) 568-3129
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC8443 NC Primary

Addresses

Primary practice location

303 E Broadway St
Pink Hill, NC 28572-8045

Mailing address

303 E Broadway St
Pink Hill, NC 28572-8045
Phone (252) 568-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108000683 NC Practitioner - Dentist 6002106366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC8443NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chrystal T. Rooks, DDS, PA CurrentSince Sep 26, 2016 Accepting new patients
Geeson, Rooks & Associates DDS II PA Current Accepting new patients
Geeson, Rooks and Associates, DDS, PA Current Accepting new patients

Locations

711 N Brown St
Chadbourn, NC 28431
Phone (252) 361-8062

303 E Broadway St
Pink Hill, NC 28572
Phone (252) 568-3711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1154528602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BROADWAY ST",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285728045",
            "telephone_number": "252-568-3711",
            "fax_number": "252-568-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BROADWAY ST",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285728045",
            "telephone_number": "252-568-3711",
            "fax_number": "252-568-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKS",
        "first_name": "CHRYSTAL",
        "middle_name": "T",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC8443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pink Hill, NC

Sources for this page

Verify at the official NPI Registry.