NPIMap

Organization Active NPI

Roanoke Endodontics

  • Endodontics
  • Salem, VA
National Provider Identifier
1699486134
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ROANOKE ENDODONTICS
Practice address
1938 Braeburn Dr
Salem, VA 24153-7302
Phone
(540) 989-6648
Fax
(540) 989-5340
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Dr. Laura Garden, DDS, MSDNPI 1487092300
Title
Owner
Phone
(540) 989-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1938 Braeburn Dr
Salem, VA 24153-7302

Mailing address

1938 Braeburn Dr
Salem, VA 24153-7302
Phone (540) 989-6648

National Provider Directory

National Provider Directory

Locations

1938 Braeburn Dr
Salem, VA 24153
Phone (540) 989-6648

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1699486134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-989-6648",
            "fax_number": "540-989-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-989-6648",
            "fax_number": "540-989-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "GARDEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-989-6648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

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