Organization Active NPI

Roth & Powell III DDS PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1407350465
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROTH & POWELL III DDS PA
Practice address
3110 New Bern Ave
Raleigh, NC 27610-1200
Phone
(919) 345-9511
Fax
(919) 400-4408
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Christy Baldwin
Title
Coo
Phone
(919) 345-9511

Specialties & licenses 1

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

Addresses

Primary practice location

3110 New Bern Ave
Raleigh, NC 27610-1200

Mailing address

PO Box 98175
Raleigh, NC 27624-8175

National Provider Directory

National Provider Directory

Locations

3110 New Bern Ave
Raleigh, NC 27610
Phone (252) 991-6843

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1407350465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98175",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101200",
            "telephone_number": "919-345-9511",
            "fax_number": "919-400-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH & POWELL III DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "919-345-9511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.