Active NPI
Todd Michael Roby, DDS
- Dentist
- Longmont, CO
National Provider Identifier
1457349664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8453
- Practice address
- 1055 17TH Ave
Suite 203
Longmont, CO 80501-2680 - Phone
- (303) 776-2020
- Fax
- (303) 776-2091
- NPI assigned
- Oct 11, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8453 | CO | Primary |
Addresses
Primary practice location
1055 17TH Ave
Suite 203
Longmont, CO 80501-2680
Mailing address
1055 17TH Ave
Suite 203
Longmont, CO 80501-2680
Phone (303) 776-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45475512 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8453 | CO | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Longmont, CO
- NPI 1386085520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457349664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 17TH AVE",
"address_2": "SUITE 203",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012680",
"telephone_number": "303-776-2020",
"fax_number": "303-776-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 17TH AVE",
"address_2": "SUITE 203",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012680",
"telephone_number": "303-776-2020",
"fax_number": "303-776-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "TODD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "8453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45475512",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- Sheryl Lynn Roberts, LPCC
- Karein Robertson
- Jennifer Robinson, LMT
- Sara Donley Robinson, M.D.
- Terry E. Robinson, M.D.
- Debra Florence Rocchi
- Rocky Mountain Cancer Centers LLP
- Rocky Mountain Cancer Centers, LLP (Rocky Mountain Cancer Centers-RMCC Longmont)
- Rocky Mountain Cancer Centers, LLP
- Rocky Mountain Clinics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.