Individual provider Active NPI

Nicholas Robert Romans, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maricopa, AZ
National Provider Identifier
1497426183
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D012045 Issued in AZ
Practice address
21083 N John Wayne Pkwy
Maricopa, AZ 85139-2959
Phone
(623) 343-7400
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012045 AZ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D012045 AZ Primary

Addresses

Primary practice location

21083 N John Wayne Pkwy
Maricopa, AZ 85139-2959

Mailing address

6319 E Waltann LN
Scottsdale, AZ 85254-1945
Phone (620) 205-9494

Other practice location 1

1968 N Peart Rd Ste 24
Casa Grande, AZ 85122-2497
Phone (623) 343-7400

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
D012045AZMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Romans Orthodontics PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Myorthos Massachusetts Orthodontics. P.C. Orthodontics and Dentofacial Orthopedics PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1497426183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 E WALTANN LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541945",
            "telephone_number": "620-205-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21083 N JOHN WAYNE PKWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392959",
            "telephone_number": "623-343-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 N Peart Rd Ste 24",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222497",
            "country_code": "US",
            "telephone_number": "623-343-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANS",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012045",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D012045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.