Roth & Powell IV DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROTH & POWELL IV DDS PA

Doing business as

Carolina Dental Arts Durham

Practice address

415 Dunstan Ave
Durham, NC 27707-2388

Phone

(919) 345-9511

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Christy Baldwin

Title

Coo

Phone

(919) 345-9511

Specialties & licenses 1

Addresses

Other names 1

• CAROLINA DENTAL ARTS DURHAM Doing business as

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1174197297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98175",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DUNSTAN AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072388",
            "telephone_number": "919-345-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Dunstan Ave",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072388",
            "country_code": "US",
            "telephone_number": "919-345-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROTH & POWELL IV DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "919-345-9511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA DENTAL ARTS DURHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ta-Nisha N Ross, NCC, LPC, LCAS-A
• Wytina Shavonne Ross, LPN
• Melissa Ann Huberman Rossborough, MD
• Paige Rossman
• Jennifer Rotella, LCSW
• Christopher John Roth, M.D.
• Avery Elisabeth Rothberg, OTD
• Michael Bryan Rothberg, MD
• Deanna Rothman, MD
• Jason Robert Rothman, M.D.

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.