Celeste Roberts

Primary specialty

DentistTaxonomy code 122300000X

License

2019030279 Issued in MO

Practice address

1550 Tomcat Blvd
Virginia Beach, VA 23460-2218

Phone

(757) 953-3925

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1043866049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 N WINNEBAGO DR",
            "city": "LAKE WINNEBAGO",
            "state": "MO",
            "postal_code": "640349319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602218",
            "telephone_number": "757-953-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pinckney Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299026122",
            "country_code": "US",
            "telephone_number": "843-288-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CELESTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019030279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celeste.l.roberts.mil@health.mil",
            "affiliation": "N",
            "address_1": "1550 Tomcat Blvd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234602218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank Andre Roberto, M.D.
• Sharon Lucille Roberts-Carter, MS., LPC
• Aimee Brooke Roberts, CD, CCE
• Asia Roberts
• Carlene Roberts
• Daylynn Roberts
• Edward Franklin Roberts, MD
• Jo Beth Roberts, CTRS
• Lequita Roberts
• Melissa Kathleen Roberts, NP-C

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.