Individual provider Active NPI

Jonelle Carla Rhosheda Romero, DMD

  • Dentist
  • Greenville, NC
National Provider Identifier
1689398778
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13051 Issued in NC
Practice address
1701 SE Greenville Blvd
Greenville, NC 27858-4811
Phone
(252) 375-8755
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13051 NC Primary

Addresses

Primary practice location

1701 SE Greenville Blvd
Greenville, NC 27858-4811

Mailing address

1701 SE Greenville Blvd
Greenville, NC 27858-4811
Phone (252) 375-8755

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

LicenseStateTypeSpecialty
13051NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Kamp & Associates PLLC CurrentSince Oct 9, 2022 Accepting new patients
Kamp Roberts & Associates PLLC CurrentSince Oct 9, 2022 Accepting new patients

Locations

1701 SE Greenville Blvd
Greenville, NC 27858
Phone (252) 375-8755

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1689398778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE GREENVILLE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584811",
            "telephone_number": "252-375-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE GREENVILLE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584811",
            "telephone_number": "252-375-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JONELLE",
        "middle_name": "CARLA RHOSHEDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.