Individual provider Active NPI

Rory Barton Frederick, DDS

  • Public Health Dentistry
  • Robbinsville, NC
National Provider Identifier
1689659328
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
8743 Issued in NC
Practice address
21 S Main St
Robbinsville, NC 28771-9054
Phone
(828) 479-7901
Fax
(828) 479-7902
NPI assigned
Dec 14, 2005
Last updated
May 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 8743 NC Primary

Addresses

Primary practice location

21 S Main St
Robbinsville, NC 28771-9054

Mailing address

PO Box 2326
Robbinsville, NC 28771-2326
Phone (803) 316-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823000496 NC Practitioner - Dentist 6406395326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8743NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Graham CurrentSince Jul 1, 2024 Accepting new patients

Locations

191 P and J Rd
Robbinsville, NC 28771
Phone (828) 479-7900

21 S Main St
Robbinsville, NC 28771
Phone (828) 479-7682

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1689659328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2326",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287712326",
            "telephone_number": "803-316-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S MAIN ST",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287719054",
            "telephone_number": "828-479-7901",
            "fax_number": "828-479-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "RORY",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

Verify at the official NPI Registry.