Organization Active NPI

Terrence Roberts, DDS, LLC

Doing business as Albany Dental Care

  • General Practice Dentistry
  • Albany, IN
National Provider Identifier
1134970288
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TERRENCE ROBERTS, DDS, LLC
Doing business as
Albany Dental Care
Practice address
996 W State St # 2
Albany, IN 47320-1519
Phone
(765) 729-9212
NPI assigned
Mar 28, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Dr. Terrence Brandon Roberts, DDSNPI 1891319794
Title
Owner
Phone
(765) 729-9212

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

996 W State St # 2
Albany, IN 47320-1519

Mailing address

996 W State St
Albany, IN 47320-1519
Phone (765) 729-9212

Other names 1

  • Albany Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

996 W State St
Albany, IN 47320
Phone (765) 789-9048

996 W State St
#2
Albany, IN 47320
Phone (765) 729-9212

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": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1134970288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 W STATE ST",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473201519",
            "telephone_number": "765-729-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 W STATE ST # 2",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473201519",
            "telephone_number": "765-729-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRENCE ROBERTS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-729-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Albany Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.