Active NPI
Barbara Pearl Roomkin, DMD
- General Practice Dentistry
- Uncasville, CT
National Provider Identifier
1780660936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 006501
- Practice address
- 14 Gallivan LN
Uncasville, CT 06382-1208 - Phone
- (860) 367-0688
- Fax
- (860) 367-0668
- NPI assigned
- Dec 20, 2005
- Last updated
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 006501 | CT | Primary |
Addresses
Primary practice location
14 Gallivan LN
Uncasville, CT 06382-1208
Mailing address
14 Gallivan LN
Uncasville, CT 06382-1208
Phone (860) 367-0688
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006501 | CT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1780660936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 GALLIVAN LN",
"city": "UNCASVILLE",
"state": "CT",
"postal_code": "063821208",
"telephone_number": "860-367-0688",
"fax_number": "860-367-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 GALLIVAN LN",
"city": "UNCASVILLE",
"state": "CT",
"postal_code": "063821208",
"telephone_number": "860-367-0688",
"fax_number": "860-367-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOMKIN",
"first_name": "BARBARA",
"middle_name": "PEARL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "006501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uncasville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.