NPIMap

Organization Active NPI

John R. Roller, D.D.S.

  • Dentist
  • Waynesboro, VA
National Provider Identifier
1902138795
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401004700 Issued in VA
Legal business name
JOHN R. ROLLER, D.D.S.
Practice address
436 S Linden Ave
Waynesboro, VA 22980-3564
Phone
(540) 943-1114
NPI assigned
Feb 4, 2010
Organization subpart
Yes
Parent organization
JOHN R. ROLLER, D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. John Richard Roller, D.D.S.
Title
Dentist/Owner
Phone
(540) 943-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401004700 VA Primary

Addresses

Primary practice location

436 S Linden Ave
Waynesboro, VA 22980-3564

Mailing address

436 S Linden Ave
Waynesboro, VA 22980-3564
Phone (540) 943-1114

National Provider Directory

National Provider Directory
Tax ID family
John R Roller DDS2 organizations share this tax ID, including this one
Part of
John R Roller DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1902138795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S LINDEN AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803564",
            "telephone_number": "540-943-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S LINDEN AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803564",
            "telephone_number": "540-943-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. ROLLER, D.D.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN R. ROLLER, D.D.S.",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "540-943-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.