Active NPI
Loeta Robles, DDS
- Dentist
- Chico, CA
National Provider Identifier
1497138630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64586
- Practice address
- 1430 East Ave
Suite 6
Chico, CA 95926 - Phone
- (530) 893-8913
- NPI assigned
- Jul 7, 2015
- Last updated
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 64586 | CA | Primary |
Addresses
Primary practice location
1430 East Ave
Suite 6
Chico, CA 95926
Mailing address
1430 East Ave
Suite 6
Chico, CA 95926
Phone (530) 893-8913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2020 through Dec 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robles Dental Group Inc | Dentist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1497138630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 EAST AVE",
"address_2": "SUITE 6",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-893-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 EAST AVE",
"address_2": "SUITE 6",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-893-8913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "LOETA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.