Amber Robertson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10101 Issued in TN

Practice address

104 Jordan Dr
Chattanooga, TN 37421

Phone

(423) 899-9530

NPI assigned

Jun 28, 2015

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Female

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robertson Family Dental PLLC

  • Dental Clinic/Center
  • Chattanooga, TN
  • NPI 1073168332
  NPD Authorized official

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1164804910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216731",
            "telephone_number": "423-899-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-9530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9205 Cobblestone Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373638943",
            "country_code": "US",
            "telephone_number": "731-445-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Christopher Roberts, MD
• Taylor Samantha Roberts, AGACNP, FNP
• William E. Roberts, M.D.
• Robertson Family Dental PLLC
• Aleksandra Ivanovna Robertson, DO
• Angela K Robertson, LPN
• Casey Robertson
• Christopher Lee Robertson, DDS
• Jason Andrew Robertson, MD
• Linnetta Robertson, APRN

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.