Active NPI
John M Romulus DDS PA
- General Practice Dentistry
- Wilmington, NC
National Provider Identifier
1942471883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5368
- Legal business name
- JOHN M ROMULUS DDS PA
- Practice address
- 3725 Wrightsville Ave
Wilmington, NC 28403-4140 - Phone
- (910) 799-9699
- Fax
- (910) 792-9987
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa L Harrell, CDA
- Title
- Office Administrator
- Phone
- (910) 799-9699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5368 | NC | Primary |
Addresses
Primary practice location
3725 Wrightsville Ave
Wilmington, NC 28403-4140
Mailing address
3725 Wrightsville Ave
Wilmington, NC 28403-4140
Phone (910) 799-9699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8997478 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- John M Romulus DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Jacksonville, NC
- NPI 1871953554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1942471883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034140",
"telephone_number": "910-799-9699",
"fax_number": "910-792-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034140",
"telephone_number": "910-799-9699",
"fax_number": "910-792-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M ROMULUS DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "HARRELL",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "910-799-9699",
"authorized_official_credential": "CDA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8997478",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.