John R Royal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4543 Issued in TN

Practice address

117 West Sevier Ave
Suite 220
Kingsport, TN 37660

Phone

(423) 933-3773

Fax

(423) 933-3726

NPI assigned

Jul 12, 2005

Reactivated

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Carolina University

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• Alliance Family Dentistry, PC

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1144289885
  NPD (past) Authorized official
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  • Dentist
  • Greenville, NC
  • NPI 1669750014
  NPD
• Alliance Family Dentistry PLLC

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1548877608
  NPD (past)
• East Carolina University

  • Dentist
  • Spruce Pine, NC
  • NPI 1144624446
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477551562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SAYLOR HILL RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376812227",
            "telephone_number": "423-905-8883",
            "fax_number": "423-933-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST SEVIER AVE",
            "address_2": "SUITE 220",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-933-3773",
            "fax_number": "423-933-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12062",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "12062",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddie Rowe, DPH
• Kristy Rowe
• Timothy Edwin Rowe, PHARM D
• Rowe'S Pharmacy
• Rowe'S Pharmacy, Inc.
• Martha S Rubenstein, PH.D.
• Chloe Christine Ruby, DO
• Michelle Ann Rucker, LPC-MHSP TEMP
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc

• General Practice Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.