Williamson Road Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WILLIAMSON ROAD DENTAL, LLC

Practice address

1502 Williamson Rd NE
Suite C
Roanoke, VA 24012-5130

Phone

(540) 339-9338

Fax

(540) 400-0525

NPI assigned

Apr 20, 2016

Organization subpart

Yes

Parent organization

SIMPLY STRAIGHT, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Henry Nardea, D.D.S.

Title

Member

Phone

(732) 859-3353

Specialties & licenses 1

Addresses

Part of

Simply Straight PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Simply Straight, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roanoke, VA
  • NPI 1205220241
  NPPES parent name

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1306290937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ALVORD ST",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551152",
            "telephone_number": "732-859-3353",
            "fax_number": "732-222-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE",
            "address_2": "SUITE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125130",
            "telephone_number": "540-339-9338",
            "fax_number": "540-400-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON ROAD DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLY STRAIGHT, P.C.",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "NARDEA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-859-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Williams, DO
• Sarah Peters Williams, PA-C
• Sharon Letita Williams, M.D.
• Stacy Marie Williams, LCSW
• Zachary Scott Williams, MD
• James Williamson
• Patricia Dunn Williford, LPC
• Mary Willis, LPC
• Rhonda L Willoughby-Nunley, PA
• Charles J Wills, LPC

• Dentist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.