Nicholas Peter Romac, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

33838 Issued in CA

Practice address

2301 Park Marina Dr Ste 19
Redding, CA 96001-2158

Phone

(530) 241-4304

Fax

(530) 241-2052

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1972717080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PARK MARINA DR STE 19",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012158",
            "telephone_number": "530-241-4304",
            "fax_number": "530-241-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PARK MARINA DR STE 19",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012158",
            "telephone_number": "530-241-4304",
            "fax_number": "530-241-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAC",
        "first_name": "NICHOLAS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Rohani, DMD
• Jessica Louise Noel Roi
• Luke Benedict Sears Roi, D.O
• Jay Steven Roitman, D.O.
• Heidi Lynn Roles, D.C.
• Sophia Socorro Romero, RDN
• Victoriano Romero, MD
• Araceli Romo
• Ronald L. Renard MD, Inc.
• Ronald S. Speigle, M.D. Inc

• Dentist in Redding, CA
• Providers in Redding, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.