Organization Active NPI

Erin K. Roberts, DDS, PLC

  • General Practice Dentistry
  • Enid, OK
National Provider Identifier
1194040089
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5555 Issued in OK
Legal business name
ERIN K. ROBERTS, DDS, PLC
Practice address
1402 N Van Buren
Enid, OK 73703
Phone
(580) 237-0694
Fax
(580) 234-4362
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Erin Katie Roberts, DDS
Title
Owner/President
Phone
(580) 237-0694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5555 OK Primary

Addresses

Primary practice location

1402 N Van Buren
Enid, OK 73703

Mailing address

1402 N Van Buren
Enid, OK 73703
Phone (580) 237-0694

Other names 1

  • Healthy Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1194040089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N VAN BUREN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-237-0694",
            "fax_number": "580-234-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N VAN BUREN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-237-0694",
            "fax_number": "580-234-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN K. ROBERTS, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "KATIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "580-237-0694",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.