Active NPI
Olivia Caroline Roten, DMD
- Dentist
- Walnut Cove, NC
National Provider Identifier
1851878839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11157
- Practice address
- 1218 N Main St
Walnut Cove, NC 27052-9393 - Phone
- (336) 591-4303
- NPI assigned
- Jul 23, 2018
- Last updated
- Jul 23, 2018
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11157 | NC | Primary |
Addresses
Primary practice location
1218 N Main St
Walnut Cove, NC 27052-9393
Mailing address
1218 N Main St
Walnut Cove, NC 27052-9393
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 |
|---|---|---|---|
| 11157 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Mabe & Mabe PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Walnut Cove, NC
- NPI 1093726929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1851878839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 N MAIN ST",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270529393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 N MAIN ST",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270529393",
"telephone_number": "336-591-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTEN",
"first_name": "OLIVIA",
"middle_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Cove, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.