Organization Active NPI

Root Canal Specialists, PLLC

  • Endodontics
  • Newport News, VA
National Provider Identifier
1720568827
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ROOT CANAL SPECIALISTS, PLLC
Practice address
12528 Warwick Blvd Ste D
Newport News, VA 23606-2958
Phone
(316) 258-0655
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
William Scott Watson
Title
Director
Phone
(316) 258-0655

Specialties & licenses 1

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

Addresses

Primary practice location

12528 Warwick Blvd Ste D
Newport News, VA 23606-2958

Mailing address

12528 Warwick Blvd Ste D
Newport News, VA 23606-2958
Phone (316) 258-0655

National Provider Directory

National Provider Directory

Locations

12528 Warwick Blvd
Ste D
Newport News, VA 23606
Phone (757) 595-0000

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": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1720568827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 WARWICK BLVD STE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062958",
            "telephone_number": "316-258-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 WARWICK BLVD STE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062958",
            "telephone_number": "316-258-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CANAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "316-258-0655"
    },
    "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 Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.