NPIMap

Organization Active NPI

Roberts & Lo PLLC

  • Dental Anesthesiology
  • Winston Salem, NC
National Provider Identifier
1225505134
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
ROBERTS & LO PLLC
Practice address
5069 University Pkwy Ste 11
Winston Salem, NC 27106-6083
Phone
(336) 714-5726
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Bridget Shields
Title
Credentialing Manager
Phone
(480) 406-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X NU Primary

Addresses

Primary practice location

5069 University Pkwy Ste 11
Winston Salem, NC 27106-6083

Mailing address

5717 E Thomas Rd Ste 100
Scottsdale, AZ 85251-7620

National Provider Directory

National Provider Directory
Tax ID family
Roberts Lo PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1225505134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 E THOMAS RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 UNIVERSITY PKWY STE 11",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066083",
            "telephone_number": "336-714-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS & LO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-406-8677"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.