Active NPI
Eric James Roman, D.D.S.
- Dentist
- Fayetteville, NC
National Provider Identifier
1154532877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8397
- Practice address
- 5075 Morganton Rd Ste 12
Fayetteville, NC 28314-1542 - Phone
- (910) 864-5100
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8397 | NC | Primary |
Addresses
Primary practice location
5075 Morganton Rd Ste 12
Fayetteville, NC 28314-1542
Mailing address
1404 Jordan St
Fayetteville, NC 28305-4698
Phone (919) 225-0613
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 |
|---|---|---|---|
| 8397 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Cameron & Roman I, PA | Past | Accepting new patients | |
| Dr. Adamson & Assoc., Fayetteville, P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Fayetteville, NC
- NPI 1780848382
-
- General Practice Dentistry
- Fayetteville, NC
- NPI 1649684085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1154532877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 JORDAN ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283054698",
"telephone_number": "919-225-0613",
"fax_number": "801-457-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 MORGANTON RD STE 12",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141542",
"telephone_number": "910-864-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "ERIC",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.