James W Willis XI DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAMES W WILLIS XI DDS PLC

Doing business as

Northeast Roanoke Dentistry

Practice address

2913 Orange Ave NE
Roanoke, VA 24012-6338

Phone

(540) 342-8781

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Willis, DDS

Title

Ceo

Phone

(304) 685-5980

Specialties & licenses 1

Addresses

Other names 1

• Northeast Roanoke Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Shoaib Razi

  • General Practice Dentistry
  • Cave Spring, VA
  • NPI 1669201307
  NPD (past)
• Supneet Singh Wadhwa, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1326502568
  NPD (past)

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1558078857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 WELBOURNE LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323346",
            "telephone_number": "304-685-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 ORANGE AVE NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126338",
            "telephone_number": "540-342-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W WILLIS XI DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-685-5980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Roanoke Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James D Reynolds DDS LTD
• James H Midkiff DDS PC
• James River Home Health Care, LLC
• James River Home Health Care, LLC
• James W Willis VII DDS PLC (Roanoke Dental Center)
• Cary-Grace James, LCSW
• James H. James, DDS
• Willard N. James Jr., LPC
• Thuja Jameson, SLP
• Suzanna Connick Jamison, M.D.

• Dentist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.