John Roan, DDS

InactiveIndividual ProviderDentistry
NPI issued: June 16, 2005

Quick Facts

NPI Number
1508861428
TypeIndividual
StatusInactive
SpecialtyDentistry
Taxonomy1223S0112X — Dentistry
Phone
(229) 247-5590
StateGA

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1508861428)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 16, 2005)
Data source: CMS NPPES

Provider Overview

JOHN ROAN, DDS is a Dentistry provider based in Valdosta, GA who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1508861428
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusInactive
Enumeration DateJune 16, 2005

Practice Location

CityValdosta
StateGA
ZIP Code31602-1781
Phone(229) 247-5590

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223S0112X
License StateGA

Mailing Address

CityValdosta
StateGA
ZIP Code31602-1781
Phone(229) 247-5590
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1508861428 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1508861428for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1508861428 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
12,064
Dentistry Providers in the US

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People Also Ask

What is John Roan's NPI number?
John Roan's NPI number is 1508861428, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is John Roan's NPI currently active?
No, John Roan's NPI status is Inactive as of the latest CMS NPPES database updates.
What does John Roan specialize in?
John Roan specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223S0112X.
Where does John Roan practice?
John Roan practices in Valdosta, GA 31602-1781.
When was John Roan's NPI issued?
John Roan's NPI was issued on June 16, 2005.
What is John Roan's provider type?
John Roan is registered as an Individual Provider under CMS NPI Type 1.