Organization Active NPI

Roth & Mann II, DDS, PA

  • General Practice Dentistry
  • Benson, NC
National Provider Identifier
1881787968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROTH & MANN II, DDS, PA
Practice address
303 S Walton Dr
Benson, NC 27504-9396
Phone
(919) 894-1612
Fax
(919) 894-2556
NPI assigned
Oct 2, 2006
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
Megan Pridge
Title
Business Manager
Phone
(919) 696-6394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

303 S Walton Dr
Benson, NC 27504-9396

Mailing address

303 S Walton Dr
Benson, NC 27504-9396
Phone (919) 894-1612

Other identifiers 1

IdentifierTypeStateIssuer
5902667MedicaidNC

Other names 1

  • Benson Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881787968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S WALTON DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275049396",
            "telephone_number": "919-894-1612",
            "fax_number": "919-894-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WALTON DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275049396",
            "telephone_number": "919-894-1612",
            "fax_number": "919-894-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH & MANN II, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIDGE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-696-6394"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902667",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benson, 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.