William Colby Roberts, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4292-22 Issued in MS

Practice address

5647 Highway 80 E Ste 4
Pearl, MS 39208-8907

Phone

(601) 936-6108

NPI assigned

Jun 10, 2022

Sex

Male

Sole proprietor

Yes

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

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.

• G. Wade Hankins Family Dentistry

  • Dentist
  • Pearl, MS
  • NPI 1073766002
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1093445389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TUCKER DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390425020",
            "telephone_number": "601-942-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 HIGHWAY 80 E STE 4",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088907",
            "telephone_number": "601-936-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WILLIAM",
        "middle_name": "COLBY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4292-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhodes Chiropractic Clinic
• Warren K Rhodes, D.C.
• Carmen Rena Rhymes Pitts, NP
• Maria Alexandra Risher, OTR/L
• Jade Alexandra Roberts
• Zachary Robinson
• Andrew James Rodgers
• Christopher Rogers, LPTA
• Roses of Love, LLC
• Karen Fay Ross, MD

• General Practice Dentistry in Pearl, MS
• Providers in Pearl, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.