NPIMap

Organization Active NPI

Karen Roberts Family Dentistry PA

  • General Practice Dentistry
  • La Grange, TX
National Provider Identifier
1215078308
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17223 Issued in TX
Legal business name
KAREN ROBERTS FAMILY DENTISTRY PA
Practice address
279 E Colorado St
La Grange, TX 78945-2243
Phone
(979) 968-9451
Fax
(979) 968-8608
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Karen A Roberts, DDSNPI 1558706192
Title
President and Owner
Phone
(979) 968-9451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17223 TX Primary

Addresses

Primary practice location

279 E Colorado St
La Grange, TX 78945-2243

Mailing address

279 E Colorado St
La Grange, TX 78945-2243
Phone (979) 968-9451

Other names 1

  • CORNERSTONE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

279 E Colorado St
La Grange, TX 78945
Phone (979) 968-9451

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1215078308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 E COLORADO ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452243",
            "telephone_number": "979-968-9451",
            "fax_number": "979-968-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E COLORADO ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452243",
            "telephone_number": "979-968-9451",
            "fax_number": "979-968-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ROBERTS FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "979-968-9451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNERSTONE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.