Individual provider Active NPI

Elizabeth C Robles, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Germantown, MD
National Provider Identifier
1245363258
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12400 Issued in MD
Practice address
19735 Germantown Rd Ste 230
Germantown, MD 20874-1217
Phone
(301) 900-8010
Fax
(240) 427-9707
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12400 MD Primary

Addresses

Primary practice location

19735 Germantown Rd Ste 230
Germantown, MD 20874-1217

Mailing address

19735 Germantown Rd Ste 230
Germantown, MD 20874-1217
Phone (301) 900-8010

Other identifiers 1

IdentifierTypeStateIssuer
800751897MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12400MDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth C. Robles DDS LLC Orthodontics and Dentofacial Orthopedics CurrentSince Apr 14, 2024 Accepting new patients

Locations

19735 Germantown Rd
Ste 230
Germantown, MD 20874
Phone (301) 900-8010

19847 Century Blvd
Ste 215
Germantown, MD 20874
Phone (301) 916-6800

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1245363258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD STE 230",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741217",
            "telephone_number": "301-900-8010",
            "fax_number": "240-427-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD STE 230",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741217",
            "telephone_number": "301-900-8010",
            "fax_number": "240-427-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "12400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800751897",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.