Organization Active NPI

Patricia Roberts DDS

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1386882843
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD1209 Issued in NM
Legal business name
PATRICIA ROBERTS DDS
Practice address
2 Calle Medico Ste 4
Santa Fe, NM 87505-4785
Phone
(505) 984-2288
Fax
(505) 984-1774
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mrs. Donnamarie R Hayas, CDA
Title
Office Manager
Phone
(505) 984-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD1209 NM Primary

Addresses

Primary practice location

2 Calle Medico Ste 4
Santa Fe, NM 87505-4785

Mailing address

2 Calle Medico Ste 4
Santa Fe, NM 87505-4785
Phone (505) 984-2288

Other names 1

  • Patricia Roberts DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

2 Calle Medico
Ste 4
Santa Fe, NM 87505
Phone (505) 984-2288

Practitioners & affiliated clinicians

Practitioners 1

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1386882843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE MEDICO STE 4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054785",
            "telephone_number": "505-984-2288",
            "fax_number": "505-984-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE MEDICO STE 4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054785",
            "telephone_number": "505-984-2288",
            "fax_number": "505-984-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA ROBERTS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "HAYAS",
        "authorized_official_first_name": "DONNAMARIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-984-2288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Roberts DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.