Organization Active NPI

Joseph Roberto DDS and Traci a. Roberto DDS, PLLC

  • General Practice Dentistry
  • Clifton Park, NY
National Provider Identifier
1295874311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOSEPH ROBERTO DDS AND TRACI A. ROBERTO DDS, PLLC
Practice address
531 Moe Rd
Clifton Park, NY 12065-3807
Phone
(518) 371-8206
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Roberto, DDS
Title
Co-Owner
Phone
(518) 371-8206

Specialties & licenses 1

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

Addresses

Primary practice location

531 Moe Rd
Clifton Park, NY 12065-3807

Mailing address

531 Moe Rd
Clifton Park, NY 12065-3807
Phone (518) 371-8206

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2244324Joseph Roberto DDS and Traci a Roberto DDS PLLC531 Moe Road, Clifton Park, NY 12065Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295874311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653807",
            "telephone_number": "518-371-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653807",
            "telephone_number": "518-371-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ROBERTO DDS AND TRACI A. ROBERTO DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "518-371-8206",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.