Organization Active NPI

James W Willis X DDS PLC

Doing business as Rocky Mount Family Dentistry

  • Dentist
  • Rocky Mount, VA
National Provider Identifier
1821705120
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAMES W WILLIS X DDS PLC
Doing business as
Rocky Mount Family Dentistry
Practice address
740 Old Franklin Tpke Unit 3
Rocky Mount, VA 24151-5881
Phone
(540) 489-8191
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
James Willis, DDS
Title
Ceo
Phone
(304) 685-5980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

740 Old Franklin Tpke Unit 3
Rocky Mount, VA 24151-5881

Mailing address

6948 Welbourne LN
Crozet, VA 22932-3346
Phone (304) 685-5980

Other names 1

  • Rocky Mount Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

740 Old Franklin Tpke
Unit 3
Rocky Mount, VA 24151
Phone (540) 489-8190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1821705120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 WELBOURNE LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323346",
            "telephone_number": "304-685-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 OLD FRANKLIN TPKE UNIT 3",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515881",
            "telephone_number": "540-489-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W WILLIS X DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-685-5980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mount Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.