James Sidney Roe, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4324 Issued in AL

Practice address

514 Martin Street South
Pell City, AL 35128

Phone

(205) 338-6125

Fax

(205) 338-9086

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225105000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 MARTIN STREET SOUTH",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35128",
            "telephone_number": "205-338-6125",
            "fax_number": "205-338-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 MARTIN STREET SOUTH",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35128",
            "telephone_number": "205-338-6125",
            "fax_number": "205-338-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "JAMES",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90887",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "663081",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbie Rigg, DPT
• Victoria Riley
• Katelyn Tribble Roberti
• Kathryn Krista Rodgers, MS CCC-SLP
• Hailey Rodriguez Reyes, ALC
• Tabitha Romine
• Reginald F Rose, DMD
• Kelsie W Roulaine, NP
• Carl Hunter Russell, M.D.
• Amanda Moorman Sanford, CRNP FNP-BC

• Dentist in Pell City, AL
• Providers in Pell City, AL by specialty
• Dentist in Alabama

• 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.