Organization Active NPI

Randy J Norbo, DDS, PC

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1194917054
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6551 Issued in VA
Legal business name
RANDY J NORBO, DDS, PC
Practice address
1414 Franklin Rd SW
Suite 3
Roanoke, VA 24016-5227
Phone
(540) 344-4798
Fax
(540) 344-0558
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Randy J Norbo, DDSNPI 1194861559
Title
Owner
Phone
(540) 344-4798

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6551 VA Primary

Addresses

Primary practice location

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

Mailing address

1414 Franklin Rd SW
Suite 3
Roanoke, VA 24016-5227
Phone (540) 344-4798

National Provider Directory

National Provider Directory

Locations

1414 Franklin Rd SW
Ste 3
Roanoke, VA 24016
Phone (540) 344-4798

Practitioners & affiliated clinicians

Practitioners 1

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": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1194917054",
    "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": {
        "organization_name": "RANDY J NORBO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "NORBO",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-344-4798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.