Active NPI
Ronel Rocha Enrique, M.D.
- Otolaryngology Physician
- Statesville, NC
National Provider Identifier
1881686434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 36699
- Practice address
- 556 Kitchings Dr
Statesville, NC 28677-3588 - Phone
- (704) 838-8255
- NPI assigned
- Aug 19, 2005
- Last updated
- Aug 15, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 36699 | NC | Primary |
Addresses
Primary practice location
556 Kitchings Dr
Statesville, NC 28677-3588
Mailing address
650 Signal Hill Drive Ext
PO Box 1845
Statesville, NC 28625-4353
Phone (704) 873-4277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930691 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36699 | NC | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1881686434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 SIGNAL HILL DRIVE EXT",
"address_2": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254353",
"telephone_number": "704-873-4277",
"fax_number": "704-873-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 KITCHINGS DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773588",
"telephone_number": "704-838-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUE",
"first_name": "RONEL",
"middle_name": "ROCHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "36699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930691",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
- Emergeortho, P.a.
- Endeavors Pediatric Therapy, LLC
- Endless Opportunities Center
- Engaging Minds Counseling Services, LLC
- Yalonda Trinace England, LPN
- Marcia Christina Ensminger, C.N.M.
- Enterprise Healthcare of Statesville (Jurney's of Statesville)
- Kimberly Eroh, BCBA
- Joseph Michael Eudy, C.PED.
- Joshua A Eudy, C.PED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.