Organization Active NPI

Roy D Jennings DDS PA

  • Dentist
  • Monroe, NC
National Provider Identifier
1275917916
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7994 Issued in NC
Legal business name
ROY D JENNINGS DDS PA
Practice address
2208 Commerce Dr
Monroe, NC 28110-6725
Phone
(704) 283-2998
Fax
(704) 283-6883
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Dr. Roy D Jennings Jr., DDS
Title
Dentist/Member
Phone
(919) 649-6893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7994 NC Primary

Addresses

Primary practice location

2208 Commerce Dr
Monroe, NC 28110-6725

Mailing address

2208 Commerce Dr
Monroe, NC 28110-6725
Phone (704) 283-2998

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.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1275917916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 COMMERCE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281106725",
            "telephone_number": "704-283-2998",
            "fax_number": "704-283-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 COMMERCE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281106725",
            "telephone_number": "704-283-2998",
            "fax_number": "704-283-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY D JENNINGS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/MEMBER",
        "authorized_official_telephone_number": "919-649-6893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.