John Ruocco & Associates PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7738 Issued in NC

Legal business name

JOHN RUOCCO & ASSOCIATES PA

Practice address

10844 Providence Rd
Suite 270
Charlotte, NC 28277-3596

Phone

(704) 996-2245

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John Ruocco, DDS

Title

President

Phone

(704) 996-2245

Specialties & licenses 1

Addresses

Other names 1

• Promenade Center for Dentistry Doing business as

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1194067009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BALTUSROL LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739045",
            "telephone_number": "704-996-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 PROVIDENCE RD",
            "address_2": "SUITE 270",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773596",
            "telephone_number": "704-996-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RUOCCO & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "RUOCCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-996-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promenade Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, 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 Mar 19, 2013; 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.