Jeffrey Roberts, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D008191 Issued in AZ

Practice address

8300 N Thornydale Rd Ste 116
Tucson, AZ 85741-1168

Phone

(520) 742-9500

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 7, 2023 through Mar 7, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jroberts19888@direct.midwestern.edu

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.

• Grant and Tanque Verde Dental LLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1821851551
  NPD Authorized official
• Oracle and Magee Dental

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1902677495
  NPD Authorized official
• Rancho Vistoso Dental LLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1013779388
  NPD Authorized official
• Tucson Spectrum Dentistry, LLP

  • Dentist
  • Tucson, AZ
  • NPI 1336547306
  NPD (past)
• Dentists of White Rock, PC

  • Dentist
  • Dallas, TX
  • NPI 1467097782
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1295022549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 W UTOPIA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085251",
            "telephone_number": "602-790-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N THORNYDALE RD STE 116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411168",
            "telephone_number": "520-742-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JEFFREY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33786",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Roberts, DO
• Charles E. Roberts, D.D.S.
• Christina Roberts, PTA
• Jared D Roberts, D.D.S
• Jasmien Roberts, MD
• Jennafer Roberts
• Jenny Lynn Roberts, FNP-C
• Kara E Roberts, ACNP-BC
• Leah Roberts, LCSW
• Lynne Roberts

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.