Raenie Roberts, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21466 Issued in TX

Practice address

2440 East Prosper Trail
Prosper, TX 75078

Phone

(972) 347-6444

Fax

(972) 347-6408

NPI assigned

Dec 5, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Roberts Dental Ranch of Texas, PA

  • Pediatric Dentistry
  • Prosper, TX
  • NPI 1760621106

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1053479626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 EAST PROSPER TRAIL",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "972-347-6444",
            "fax_number": "972-347-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 EAST PROSPER TRAIL",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "972-347-6444",
            "fax_number": "972-347-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RAENIE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "21466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Robbins
• Joshua Roberson, DPT, CSCS
• Roberts Dental Ranch of Texas, PA
• Aaron Michael Roberts, D.O.
• John David Roberts, DDS, MS
• John Marion Robertson, MD
• Zariah Robinson
• Kylie Robison
• Suleyma Jhoana Robledo Rodriguez, RD
• Rock Dental Texas PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Prosper, TX
• Providers in Prosper, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.