Active NPI
Crystal Coast Cosmetic Care ENT Surgical Services, PLLC
- Otolaryngology Physician
- Cape Carteret, NC
National Provider Identifier
1346090065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- CRYSTAL COAST COSMETIC CARE ENT SURGICAL SERVICES, PLLC
- Practice address
- 231 WB McLean Dr
Cape Carteret, NC 28584-8515 - Phone
- (252) 764-5414
- NPI assigned
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Christopher Roska, DO
- Title
- PLLC Business Owner
- Phone
- (252) 503-8707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
231 WB McLean Dr
Cape Carteret, NC 28584-8515
Mailing address
101 Hope Town CT
Cedar Point, NC 28584-4501
Phone (252) 503-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
231 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 764-5414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Cape Carteret, NC
- NPI 1467551861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1346090065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOPE TOWN CT",
"city": "CEDAR POINT",
"state": "NC",
"postal_code": "285844501",
"telephone_number": "252-503-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 WB MCLEAN DR",
"city": "CAPE CARTERET",
"state": "NC",
"postal_code": "285848515",
"telephone_number": "252-764-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL COAST COSMETIC CARE ENT SURGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "ROSKA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PLLC BUSINESS OWNER",
"authorized_official_telephone_number": "252-503-8707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Carteret, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.