Individual provider Active NPI

Joyce Lockwood Roach, DDS

  • Dentist
  • Briarcliff Manor, NY
National Provider Identifier
1881890101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0456161 Issued in NY
Practice address
312 Chappaqua Rd
Briarcliff Manor, NY 10510-1354
Phone
(914) 762-4422
Fax
(914) 762-5169
NPI assigned
Jun 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0456161 NY Primary

Addresses

Primary practice location

312 Chappaqua Rd
Briarcliff Manor, NY 10510-1354

Mailing address

312 Chappaqua Rd
Briarcliff Manor, NY 10510-1354
Phone (914) 762-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150330000956 NY Order and Referring Only - DentistPractitioner - Dentist 0244557304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0456161NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881890101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHAPPAQUA RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101354",
            "telephone_number": "914-762-4422",
            "fax_number": "914-762-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CHAPPAQUA RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101354",
            "telephone_number": "914-762-4422",
            "fax_number": "914-762-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD ROACH",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0456161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

Verify at the official NPI Registry.