Organization Active NPI

Royster, Smih, Lanning & Bundy DDS, PLLC

  • General Practice Dentistry
  • Denton, NC
National Provider Identifier
1225168545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROYSTER, SMIH, LANNING & BUNDY DDS, PLLC
Practice address
179 W Salisbury St
Denton, NC 27239-6926
Phone
(336) 859-4435
Fax
(336) 859-5682
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Suzy Mantel, RDH
Title
Office Administrator
Phone
(336) 476-6129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

179 W Salisbury St
Denton, NC 27239-6926

Mailing address

PO Box 428
Denton, NC 27239-0428
Phone (336) 859-4435

Other identifiers 1

IdentifierTypeStateIssuer
015WEOtherNCMEDICAID #

National Provider Directory

National Provider Directory

Locations

179 W Salisbury St
Denton, NC 27239
Phone (336) 859-4435

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225168545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "DENTON",
            "state": "NC",
            "postal_code": "272390428",
            "telephone_number": "336-859-4435",
            "fax_number": "336-859-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 W SALISBURY ST",
            "city": "DENTON",
            "state": "NC",
            "postal_code": "272396926",
            "telephone_number": "336-859-4435",
            "fax_number": "336-859-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYSTER, SMIH, LANNING & BUNDY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANTEL",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-476-6129",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID #",
            "identifier": "015WE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.