MEDICARE: ROMANS ORTHODONTICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1710833298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMANS ORTHODONTICS PLLC

Provider Business Mailing Address
First Line	:	3618 W ANTHEM WAY STE D120
Second Line	:
City	:	ANTHEM
State	:	AZ
Zip	:	85086-0458
Country	:	US
Telephone Number	:	620-205-9494
Fax Number	:

Provider Business Practice Location Address
First Line	:	3618 W ANTHEM WAY STE D120
Second Line	:
City	:	ANTHEM
State	:	AZ
Zip	:	85086-0458
Country	:	US
Telephone Number	:	620-205-9494
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NICHOLAS ROBERT ROMANS
Credential	:	DMD, MSD
Telephone Number	:	620-205-9494

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/10/2026

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