Active NPI
Erin Diskin, DDS
- Dentist
- Fuquay Varina, NC
National Provider Identifier
1609529775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12610
- Practice address
- 913 E Broad St
Fuquay Varina, NC 27526-1960 - Phone
- (919) 586-8597
- NPI assigned
- Jan 30, 2022
- Last updated
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12610 | NC | Primary |
Addresses
Primary practice location
913 E Broad St
Fuquay Varina, NC 27526-1960
Mailing address
1130 Westhills CT
Morrisville, NC 27560-6976
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12610 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Roman and Associates II, PLLC | Current | Accepting new patients |
Locations
913 E Broad St
Fuquay Varina, NC 27526
Phone (252) 737-7000
Organizations & group practices 1
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.
-
- Public Health Dentistry
- Fuquay Varina, NC
- NPI 1528677754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1609529775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 WESTHILLS CT",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606976"
},
{
"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": {
"last_name": "DISKIN",
"first_name": "ERIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-30",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "12610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 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.