Roopwant Kaur, BDS,MS

Individual provider Active NPI Dentist · Greenville, NC

NPI 1992059240 · NPPES record last updated Nov 14, 2012

Key facts

NPI
1992059240
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
0115 (NC)
Practice address
1851 Macgregor Downs Rd
Ecu School of Dental Medicine
Greenville, NC 27834-5925
Phone
(252) 737-7148
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210316002849 NC Practitioner - Dentist 0547563801 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0115NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Current
since Dec 2, 2020
Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University Dentist Current
since Dec 2, 2020
Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0115 NC Yes

Addresses

Primary practice location

1851 Macgregor Downs Rd
Ecu School of Dental Medicine
Greenville, NC 27834-5925

Mailing address

1851 Macgregor Downs Rd
Ecu School of Dental Medicine
Greenville, NC 27834-5925
Phone (252) 737-7148

Other providers in Greenville, NC

All providers in Greenville, NC · Dentist in North Carolina

Sources for this page

Verify at the official NPI Registry.