Organization Active NPI

Mauldin & Rokos, DDS, PA

  • General Practice Dentistry
  • Albemarle, NC
National Provider Identifier
1285709733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5952 Issued in NC
Legal business name
MAULDIN & ROKOS, DDS, PA
Practice address
701 N 2ND St
Albemarle, NC 28001-3313
Phone
(704) 982-6312
NPI assigned
Nov 21, 2006
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
Dr. Jmaes W Rokos, DDS
Title
Owner, Secretary, Treasurer
Phone
(704) 982-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5952 NC Primary

Addresses

Primary practice location

701 N 2ND St
Albemarle, NC 28001-3313

Mailing address

701 N 2ND St
Albemarle, NC 28001-3313

Other identifiers 2

IdentifierTypeStateIssuer
02614OtherNCBLUE CROSS BLUE SHIELD
8902614MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285709733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 2ND ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 2ND ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013313",
            "telephone_number": "704-982-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULDIN & ROKOS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROKOS",
        "authorized_official_first_name": "JMAES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "704-982-6312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02614",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, 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.