Organization Active NPI

John Ruocco & Associates PA

Doing business as Promenade Center for Dentistry

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1194067009
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7738 Issued in NC
Legal business name
JOHN RUOCCO & ASSOCIATES PA
Doing business as
Promenade Center for Dentistry
Practice address
10844 Providence Rd
Suite 270
Charlotte, NC 28277-3596
Phone
(704) 996-2245
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. John Ruocco, DDSNPI 1043369457
Title
President
Phone
(704) 996-2245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7738 NC Primary

Addresses

Primary practice location

10844 Providence Rd
Suite 270
Charlotte, NC 28277-3596

Mailing address

1009 Baltusrol LN
Waxhaw, NC 28173-9045
Phone (704) 996-2245

Other names 1

  • Promenade Center for Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • 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.