Ronald W Katz DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8077 Issued in NC

Legal business name

RONALD W KATZ DMD PA

Doing business as

Cape Center Dental

Practice address

1357 Walter Reed Rd
Suite 101
Fayetteville, NC 28304-4415

Phone

(910) 483-2700

Fax

(910) 484-3352

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Howe

Title

Insurance Supervisor

Phone

(910) 483-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cape Center Dental Doing business as

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396804308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044415",
            "telephone_number": "910-483-2700",
            "fax_number": "910-484-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044415",
            "telephone_number": "910-483-2700",
            "fax_number": "910-484-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W KATZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "910-483-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902187",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chase Rolle
• Denise J Rolle, FNP
• Eric James Roman, D.D.S.
• Mary Roman, LCSWA
• Erein Jane Lunod Romero, PT
• Joshua Matthew Rosa, RN
• Adriana Isabel Rosado, PT, DPT
• Alejandro Rosado III
• Symone Rosales
• Quinesha Roscoe

• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• 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.