Jose R Varela, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11505 Issued in NC

Practice address

441 S Morgan St
Roxboro, NC 27573-5123

Phone

(336) 599-6641

Fax

(336) 599-7182

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Jose R Varela DDS PLLC

  • Dental Clinic/Center
  • Durham, NC
  • NPI 1104637305
  NPD Authorized official
• Lane and Associates Xlviii DDS PA

  • Dentist
  • Roxboro, NC
  • NPI 1881310001
  NPD
• Bayliff Family Dentistry

  • Dentist
  • Roxboro, NC
  • NPI 1891909388
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1982265617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 GLENNSTONE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277046417",
            "telephone_number": "650-218-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S MORGAN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735123",
            "telephone_number": "336-599-6641",
            "fax_number": "336-599-7182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Dabney Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275363946",
            "country_code": "US",
            "telephone_number": "252-492-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARELA",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11505",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "11505",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urgent Cares of America North Carolina Inc
• Angela Milton Viola, PHARM. D
• Vision of Therapeutic Development, Inc.
• Vision of Therapeutic Development, Inc.
• Sarah Benton Wagner, MSN, APRN, FNP-C
• Wal-Mart Stores East LP

• General Practice Dentistry in Roxboro, NC
• Providers in Roxboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.