Roller Family Dentistry, PLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401004700 Issued in VA

Legal business name

ROLLER FAMILY DENTISTRY, PLC

Practice address

1420 13TH St
Waynesboro, VA 22980-3624

Phone

(540) 943-1114

Fax

(540) 943-1466

NPI assigned

Jan 15, 2010

Organization subpart

Yes

Parent organization

JOHN R. ROLLER,D.D.S.As reported in NPPES

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

Authorized official

Name

Dr. John Daniel Roller, DDSNPI 1508186008

Title

Owner, Dentist

Phone

(540) 943-1114

Specialties & licenses 1

Addresses

Part of

John R Roller DDS

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Daniel Roller, DDS

  • Dentist
  • Waynesboro, VA
  • NPI 1508186008
  NPD (past) Authorized official

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1861723793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 13TH ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803624",
            "telephone_number": "540-943-1114",
            "fax_number": "540-943-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 13TH ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803624",
            "telephone_number": "540-943-1114",
            "fax_number": "540-943-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLER FAMILY DENTISTRY, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN R. ROLLER,D.D.S.",
        "enumeration_date": "2010-01-15",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "540-943-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Reid IV, M.D.
• Tiffany Reynolds
• Ashley Richards, PHARMD
• Ride Rite LLC
• River Edge Rehabilitation and Nursing LLC
• John Daniel Roller, DDS
• John R Roller, DDS
• Matthew Callender Roller, D.D.S.
• Douglas C Root, MD
• Shelton Lucian Root IV, RPH

• Dentist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.