S. Ross Penland, DMD, PA-Morganton, P.L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9170 Issued in NC

Legal business name

S. ROSS PENLAND, DMD, PA-MORGANTON, P.L.L.C

Practice address

110 Juniper St
Suite 200
Morganton, NC 28655-4676

Phone

(828) 855-3779

Fax

(828) 855-3781

NPI assigned

Apr 4, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Ross Penland, DMD

Title

Pediatric Dentist

Phone

(828) 855-3779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Matthew Thomas Leach

  • General Practice Dentistry
  • Hickory, NC
  • NPI 1053765925
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1881127298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 JUNIPER ST",
            "address_2": "SUITE 200",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554676",
            "telephone_number": "828-855-3779",
            "fax_number": "828-855-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JUNIPER ST",
            "address_2": "SUITE 200",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554676",
            "telephone_number": "828-855-3779",
            "fax_number": "828-855-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. ROSS PENLAND, DMD, PA-MORGANTON, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "PENLAND",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "828-855-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386871697",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Kaye Ruppe, MSN, BSN, RN
• Dathan Rush, M.A., CCC-SLP
• Annalarsa Walker Russ, MPT
• Donald Barnard Russ, MD
• Tamra Clay Russell, COTA
• Mario P Sacchetti, D.O.
• James Arthur Salisbury, M.D.
• Richard Larkin Salsman, M.D.
• Iris Salswach Cadena
• Rahul Sampath, M.D

• General Practice Dentistry in Morganton, NC
• Providers in Morganton, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.