NPIMap

Organization Active NPI

O.R. Stovall DDS

  • Dentist
  • Goldsboro, NC
National Provider Identifier
1154593796
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5243 Issued in NC
Legal business name
O.R. STOVALL DDS
Practice address
1504 Wayne Memorial Dr
Goldsboro, NC 27534-2237
Phone
(919) 735-3431
Fax
(919) 735-3455
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Orlando R Stovall, DDSNPI 1023041316
Title
Owner
Phone
(919) 735-3431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5243 NC Primary

Addresses

Primary practice location

1504 Wayne Memorial Dr
Goldsboro, NC 27534-2237

Mailing address

1504 Wayne Memorial Dr
Goldsboro, NC 27534-2237
Phone (919) 735-3431

National Provider Directory

National Provider Directory

Locations

1504 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 735-3431

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1154593796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342237",
            "telephone_number": "919-735-3431",
            "fax_number": "919-735-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342237",
            "telephone_number": "919-735-3431",
            "fax_number": "919-735-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.R. STOVALL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-735-3431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.