Individual provider Active NPI

Kristn D. Roberts, D.D.S.

  • General Practice Dentistry
  • Rocky Mount, VA
National Provider Identifier
1154597151
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040008768 Issued in VA
Practice address
490 S Main St
Suite 201
Rocky Mount, VA 24151-1762
Phone
(540) 483-5241
Fax
(540) 484-1121
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040008768 VA Primary

Addresses

Primary practice location

490 S Main St
Suite 201
Rocky Mount, VA 24151-1762

Mailing address

490 S Main St
Suite 201
Rocky Mount, VA 24151-1762
Phone (540) 483-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
040008768VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Dental Associate General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1154597151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511762",
            "telephone_number": "540-483-5241",
            "fax_number": "540-484-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511762",
            "telephone_number": "540-483-5241",
            "fax_number": "540-484-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTN",
        "middle_name": "D.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "040008768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.