Individual provider Active NPI

Dorothy Renee Henry Ross, NP

  • Independent Medical Examiner Physician
  • Hope Mills, NC
National Provider Identifier
1548463870
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
005002805 Issued in NC
Practice address
3758 S Main St
Hope Mills, NC 28348-1959
Phone
(910) 429-0647
Fax
(910) 429-0791
NPI assigned
Jun 6, 2007
Last updated
Sep 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5002805 NC
Independent Medical Examiner Physician 202C00000X 005002805 NC Primary

Addresses

Primary practice location

3758 S Main St
Hope Mills, NC 28348-1959

Mailing address

3758 S Main St
Hope Mills, NC 28348-1959
Phone (910) 429-0647

Other names 1

  • Dorothy Renee Henry Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
005002805NCMDIndependent Medical Examiner Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Mills Urgent Care & Medical Clinic, PLLC PastSince Oct 1, 2001 Accepting new patients
Alternative Care Treatments Systems, Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1548463870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 S MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481959",
            "telephone_number": "910-429-0647",
            "fax_number": "910-429-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 S MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481959",
            "telephone_number": "910-429-0647",
            "fax_number": "910-429-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DOROTHY",
        "middle_name": "RENEE HENRY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5002805",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NC",
            "license": "005002805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "HENRY",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.