Active NPI
Terrell Roberts
- Adult Companion
- Cincinnati, OH
National Provider Identifier
1477030906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 2841 Veazey Ave
Cincinnati, OH 45238-2503 - Phone
- (513) 908-0590
- NPI assigned
- Jul 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 51.021925 | OH | |
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
2841 Veazey Ave
Cincinnati, OH 45238-2503
Mailing address
2841 Veazey Ave
Cincinnati, OH 45238-2503
Phone (513) 908-0590
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 |
|---|---|---|---|
| 51.021925 | OH | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1477030906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 VEAZEY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382503",
"telephone_number": "513-908-0590",
"fax_number": "513-908-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 VEAZEY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382503",
"telephone_number": "513-908-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "TERRELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "OH",
"license": "51.021925",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.