Individual provider Active NPI

Robert B Semtner, DDS

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1063703916
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410195 Issued in VA
Practice address
4370 Starkey Rd
Suite 1 B
Roanoke, VA 24018-0607
Phone
(540) 989-0112
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410195 VA Primary

Addresses

Primary practice location

4370 Starkey Rd
Suite 1 B
Roanoke, VA 24018-0607

Mailing address

4370 Starkey Rd
Suite 1 B
Roanoke, VA 24018-0607
Phone (540) 989-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731015915 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092029272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401410195VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Semtner & Semtner, DDS, Inc. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1063703916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 STARKEY RD",
            "address_2": "SUITE 1 B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180607",
            "telephone_number": "540-989-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 STARKEY RD",
            "address_2": "SUITE 1 B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180607",
            "telephone_number": "540-989-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMTNER",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.