Active NPI
Straight Smiles of Roanoke, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Roanoke, VA
National Provider Identifier
1962706754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- STRAIGHT SMILES OF ROANOKE, PLLC
- Practice address
- 1502 Williamson Rd NE
Suite a
Roanoke, VA 24012-5130 - Phone
- (540) 206-2203
- Fax
- (540) 400-0525
- NPI assigned
- Jan 7, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jenell Stringer
- Title
- Manager, Licensing & Credentialing
- Phone
- (615) 750-0343
National Provider Directory
National Provider DirectoryLocations
1502 Williamson Rd NE
Ste A
Roanoke, VA 24012
Phone (540) 206-2203
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1502 Williamson Rd NE
Suite a
Roanoke, VA 24012-5130
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Phone (615) 750-0343
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208806 | Medicaid | VA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2013.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1962706754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ARCADE UNIT 198747",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372191994",
"telephone_number": "615-750-0343",
"fax_number": "615-986-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 WILLIAMSON RD NE",
"address_2": "SUITE A",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240125130",
"telephone_number": "540-206-2203",
"fax_number": "540-400-0525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAIGHT SMILES OF ROANOKE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-07",
"last_updated": "2013-06-11",
"status": "A",
"authorized_official_last_name": "STRINGER",
"authorized_official_first_name": "JENELL",
"authorized_official_title_or_position": "MANAGER, LICENSING & CREDENTIALING",
"authorized_official_telephone_number": "615-750-0343"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208806",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.