Organization Active NPI

Dr. Roman and Associates II, PLLC

  • Public Health Dentistry
  • Fuquay Varina, NC
National Provider Identifier
1528677754
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
DR. ROMAN AND ASSOCIATES II, PLLC
Practice address
913 E Broad St
Fuquay Varina, NC 27526-1960
Phone
(919) 586-8597
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Ms. Krystal D Flowers
Title
Finance Coordinator
Phone
(703) 304-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

913 E Broad St
Fuquay Varina, NC 27526-1960

Mailing address

13580 Groupe Dr Ste 305
Woodbridge, VA 22192-4165
Phone (703) 304-1276

Other names 1

  • CarolinasDentist Fuquay-Varina Other name

National Provider Directory

National Provider Directory

Locations

913 E Broad St
Fuquay Varina, NC 27526
Phone (252) 737-7000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1528677754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13580 GROUPE DR STE 305",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924165",
            "telephone_number": "703-304-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261960",
            "telephone_number": "919-586-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROMAN AND ASSOCIATES II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCE COORDINATOR",
        "authorized_official_telephone_number": "703-304-1276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarolinasDentist Fuquay-Varina",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.