Randy J Norbo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6551 Issued in VA

Practice address

1414 Franklin Rd SW
Suite 3
Roanoke, VA 24016-5227

Phone

(540) 344-4798

Fax

(540) 344-0558

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Randy J Norbo, DDS, PC

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1194917054
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194861559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 FRANKLIN RD SW",
            "address_2": "SUITE 3",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165227",
            "telephone_number": "540-344-4798",
            "fax_number": "540-344-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 FRANKLIN RD SW",
            "address_2": "SUITE 3",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165227",
            "telephone_number": "540-344-4798",
            "fax_number": "540-344-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBO",
        "first_name": "RANDY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Robert Nogueira, D.O.
• Donald B Nolan, MD
• Kyle John Nolan
• Larry Kyle Nolan, MD
• Carmen Danielle Nolen, F.N.P.
• Nicole Thieken Norby, MD
• Kara Kristin Norcross, AU.D.
• Sara Elisabeth Norder, LPTA
• Cheryl Nordgren, MS/SLP
• Jennifer Lea Norma, M.ED., BCBA, LBA

• General Practice Dentistry in Roanoke, VA
• Providers in Roanoke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.