Organization Active NPI

William a Roberts MD., PC.

  • Ophthalmology Physician
  • Boulder, CO
National Provider Identifier
1144509928
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16656 Issued in CO
Legal business name
WILLIAM A ROBERTS MD., PC.
Practice address
385 Broadway St
Boulder, CO 80305-3344
Phone
(303) 449-3770
Fax
(303) 449-5383
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
William A Roberts, MD
Title
Owner
Phone
(303) 449-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 16656 CO Primary

Addresses

Primary practice location

385 Broadway St
Boulder, CO 80305-3344

Mailing address

385 Broadway St
Boulder, CO 80305-3344
Phone (303) 449-3770

Other identifiers 1

IdentifierTypeStateIssuer
01166560MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1144509928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053344",
            "telephone_number": "303-449-3770",
            "fax_number": "303-449-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053344",
            "telephone_number": "303-449-3770",
            "fax_number": "303-449-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A ROBERTS MD., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-449-3770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "16656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01166560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.