Active NPI
Frank Alan Roberts, DDS PHD
- Periodontics
- Seattle, WA
National Provider Identifier
1396838587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE00007843
- Practice address
- 1959 NE Pacific St
HSB D580C, Box 357444
Seattle, WA 98195-7444 - Phone
- (206) 685-9046
- Fax
- (206) 616-7478
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE00007843 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
HSB D580C, Box 357444
Seattle, WA 98195-7444
Mailing address
1959 NE Pacific St
HSB D580C, Box 357444
Seattle, WA 98195-7444
Phone (206) 685-9046
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00007843 | WA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1396838587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "HSB D580C, BOX 357444",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957444",
"telephone_number": "206-685-9046",
"fax_number": "206-616-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "HSB D580C, BOX 357444",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957444",
"telephone_number": "206-685-9046",
"fax_number": "206-616-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "FRANK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE00007843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.