Individual provider Active NPI

Dennis Collins Romary, DDS

  • General Practice Dentistry
  • Cameron Park, CA
National Provider Identifier
1356347074
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23028 Issued in CA
Practice address
United States Navy Reserve
Cameron Park, CA 95682
Phone
(530) 672-9523
Fax
(530) 672-0952
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23028 CA Primary

Addresses

Primary practice location

United States Navy Reserve
Cameron Park, CA 95682

Mailing address

328 Muirfield CT
Cameron Park, CA 95682-7665
Phone (530) 672-9523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23028CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1356347074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MUIRFIELD CT",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827665",
            "telephone_number": "530-672-9523",
            "fax_number": "530-672-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITED STATES NAVY RESERVE",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "95682",
            "telephone_number": "530-672-9523",
            "fax_number": "530-672-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMARY",
        "first_name": "DENNIS",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.