David S. Roberts DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1438779922 Issued in UT

Legal business name

DAVID S. ROBERTS DDS PC

Practice address

7555 Center View CT
Suite 201
West Jordan, UT 84084-1970

Phone

(801) 566-9380

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David S. Roberts, DDSNPI 1871618421

Title

President

Phone

(801) 566-9380

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David S. Roberts, DDS

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1871618421
  NPD (past) Authorized official
• Michael Roberts, DDS

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1376167650
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083739858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 CENTER VIEW CT",
            "address_2": "SUITE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841970",
            "telephone_number": "801-566-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 CENTER VIEW CT",
            "address_2": "SUITE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841970",
            "telephone_number": "801-566-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. ROBERTS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-566-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "1438779922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS",
            "identifier": "00626529",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF NJ",
            "identifier": "2243877UT",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552172150018",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Darr, MD
• Darren B. Jenkins, D.O.,P.C.
• Dasie Enterprises, Inc.
• David D. Allred Counseling & Consulting, LLC
• David Hunter Matthews MD PC
• Dedric Dean Davidson, LCSW
• Andrew Davis, M.D.
• Cassi Davis, LCSW
• Craig William Davis, MD
• Halle Davis, LAT, ATC

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.