Organization Active NPI

DRS. Abdelbaky, Boes, Cameron & Associates of Rolesville, PLLC

  • General Practice Dentistry
  • Rolesville, NC
National Provider Identifier
1548976897
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF ROLESVILLE, PLLC
Practice address
101 Redford Place Drive
Suite 300
Rolesville, NC 27571
Phone
(919) 931-8626
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Amena Holley
Title
Credentialing Specialist
Phone
(248) 550-5440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

101 Redford Place Drive
Suite 300
Rolesville, NC 27571

Mailing address

PO Box 603763
Charlotte, NC 28260-3763

Other names 1

  • TFD - Rolesville Other name

National Provider Directory

National Provider Directory

Locations

101 Redford Place Dr
Ste 300
Rolesville, NC 27571
Phone (919) 931-8626

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1548976897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603763",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REDFORD PLACE DRIVE",
            "address_2": "SUITE 300",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "27571",
            "telephone_number": "919-931-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF ROLESVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "AMENA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "248-550-5440"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TFD - Rolesville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TFD - Rolesville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rolesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.