Active NPI
James W Willis X DDS PLC
Doing business as Rocky Mount Family Dentistry
- Dentist
- Rocky Mount, VA
National Provider Identifier
1821705120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Rocky Mount, VA
- NPI 1609619766
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.