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DR. JOHN RALPH ROYAL DDS
NPI 1477551562
Dentist in Spruce Pine, NC

Active since July 12, 2005PECOS Enrolled
179 HOSPITAL DR, SPRUCE PINE, NC 28777(719) 955-4023(719) 955-4046 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Nov 2, 2020 (2 updates tracked since 2020).

About Dr. John Ralph Royal Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN RALPH ROYAL DDS (NPI 1477551562) is an individual dentist in Spruce Pine, North Carolina, licensed in North Carolina (12062) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477551562
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN RALPH ROYALCredential: DDS
Location Address179 HOSPITAL DRSpruce Pine, NC 28777-3035
Mailing Address179 Hospital DrSpruce Pine, NC 28777-3035 · (719) 433-1585
Phone(719) 955-4023
Fax(719) 955-4046
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1477551562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 12062
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
179 HOSPITAL DR, Spruce Pine, NC 28777
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Other Identifiers 1

Other12062NC · Nc License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Ralph Royal Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Royal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carolina University
Same address
Dentist
179 HOSPITAL DR
Spruce Pine, NC 28777
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1144624446 (828) 765-0110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID J DUBOIS D.D.S
Dentist (General Practice)
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 765-0110
EAST CAROLINA UNIVERSITY
Dentist
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 765-0110
ANA KARINA LARIOS DDS
Dentist (General Practice)
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (415) 806-4587
AMBER SHAIKH DDS
Dentist
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 765-0110
AMELIA TAN
Student in an Organized Health Care Education/Training Program
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 765-0110
SANJAY NANDWANI BDS
Dentist (General Practice)
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 765-0110
DR. BRIANA ROSE SAMBUCHI DDS
Dentist
179 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 765-0110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Royal's NPI number?

The NPI number for John Royal is 1477551562. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is John Royal located?

John Royal practices at 179 Hospital Dr, Spruce Pine, NC 28777. The listed phone number is (719) 955-4023.

What is John Royal's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Royal enrolled in Medicare?

Yes. John Royal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Royal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Royal reassigns Medicare benefits to East Carolina University (Spruce Pine, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Royal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Royal accept?

Health plans from Renaissance Dental list John Royal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Royal was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.