James Joseph Roback, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

040874 1 Issued in NY

Practice address

286 Genesee St
Utica, NY 13502-4639

Phone

(315) 724-0606

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285776856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "315-724-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "315-724-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBACK",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040874 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RJ Anesthesia PLLC
• Karri L Roach, RN
• Patricia Alice Roach, MS, RN, NPP
• Erica Roark
• Donna L. Roback
• Robbys Bundle of Joy
• Amy L.M. Roberson, RPA-C
• Robert J. Bryla (Bryla Chiropractic and Physical Therapy)
• Glen Andrew Roberts, MHC-LP
• Lori Ann Roberts, RN

• Dentist in Utica, NY
• Providers in Utica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.