Organization Active NPI

Ronald G. Roe DDS

  • Dentist
  • Greensboro, NC
National Provider Identifier
1871713784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4395 Issued in NC
Legal business name
RONALD G. ROE DDS
Practice address
1430 E Cone Blvd
Greensboro, NC 27405-4534
Phone
(336) 621-4927
Fax
(336) 621-5376
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Glynn Roe, D.D.S.
Title
Owner
Phone
(336) 621-4927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4395 NC Primary

Addresses

Primary practice location

1430 E Cone Blvd
Greensboro, NC 27405-4534

Mailing address

6330 Cape Wedgewood Cir
Browns Summit, NC 27214-9692
Phone (336) 621-0358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871713784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 CAPE WEDGEWOOD CIR",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149692",
            "telephone_number": "336-621-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E CONE BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054534",
            "telephone_number": "336-621-4927",
            "fax_number": "336-621-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G. ROE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-621-4927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.