Organization Active NPI

John R. Roller and Associates

  • Dentist
  • Staunton, VA
National Provider Identifier
1639400575
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412172 Issued in VA
Legal business name
JOHN R. ROLLER AND ASSOCIATES
Practice address
251 Frontier Dr
Staunton, VA 24401-9174
Phone
(540) 886-3777
Fax
(540) 886-3677
NPI assigned
Jan 15, 2010
Organization subpart
Yes
Parent organization
JOHN R. ROLLER, D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Dr. John Richard Roller, D.D.S.
Title
Dentist
Phone
(540) 943-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401412172 VA Primary

Addresses

Primary practice location

251 Frontier Dr
Staunton, VA 24401-9174

Mailing address

251 Frontier Dr
Staunton, VA 24401-9174
Phone (540) 886-3777

National Provider Directory

National Provider Directory
Tax ID family
John R Roller DDS2 organizations share this tax ID, including this one
Part of
John R Roller DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

251 Frontier Dr
Staunton, VA 24401
Phone (540) 886-3777

Practitioners & affiliated clinicians

Practitioners 1

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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1639400575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 FRONTIER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019174",
            "telephone_number": "540-886-3777",
            "fax_number": "540-886-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 FRONTIER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019174",
            "telephone_number": "540-886-3777",
            "fax_number": "540-886-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. ROLLER AND ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN R. ROLLER, D.D.S.",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-943-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.