Organization Active NPI

Chris R Roberts DDS, PC

Doing business as Green Valley Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1134432743
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9944 Issued in CO
Legal business name
CHRIS R ROBERTS DDS, PC
Doing business as
Green Valley Kids Pediatric Dentistry
Practice address
4809 Argonne St
Suite 230
Denver, CO 80249-6834
Phone
(303) 371-4485
Fax
(303) 371-3904
NPI assigned
Jul 24, 2010
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Chris R Roberts, DDS, MSNPI 1992966840
Title
Owner/President
Phone
(303) 371-4485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 9944 CO Primary

Addresses

Primary practice location

4809 Argonne St
Suite 230
Denver, CO 80249-6834

Mailing address

4809 Argonne St
Suite 230
Denver, CO 80249-6834
Phone (303) 371-4485

Other identifiers 1

IdentifierTypeStateIssuer
47684291MedicaidCO

Other names 1

  • Green Valley Kids Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4809 Argonne St
Ste 230
Denver, CO 80249
Phone (303) 371-4485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1134432743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "address_2": "SUITE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-371-4485",
            "fax_number": "303-371-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "address_2": "SUITE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-371-4485",
            "fax_number": "303-371-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS R ROBERTS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-24",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-371-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47684291",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.