Organization Active NPI

Roberts Family Dentistry LLC

  • General Practice Dentistry
  • Nantucket, MA
National Provider Identifier
1174333504
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERTS FAMILY DENTISTRY LLC
Practice address
2 Amelia Dr
Nantucket, MA 02554-6064
Phone
(508) 228-5508
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Christy Potter
Title
Office Manager
Phone
(508) 228-5508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2 Amelia Dr
Nantucket, MA 02554-6064

Mailing address

2 Amelia Dr
Nantucket, MA 02554-6064
Phone (508) 228-5508

National Provider Directory

National Provider Directory

Locations

2 Amelia Dr
Nantucket, MA 02554
Phone (508) 228-5508

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1174333504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AMELIA DR",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025546064",
            "telephone_number": "508-228-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AMELIA DR",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025546064",
            "telephone_number": "508-228-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-228-5508"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.