Individual provider Active NPI

Amy Michelle Roberts, D.D.S.

  • Dentist
  • Highlands Ranch, CO
National Provider Identifier
1518094069
Registry record updated Jan 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10689 Issued in CO
Practice address
300 Plaza Dr Ste 102
Highlands Ranch, CO 80129-2310
Phone
(303) 683-3332
Fax
(303) 683-7979
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10689 CO Primary

Addresses

Primary practice location

300 Plaza Dr Ste 102
Highlands Ranch, CO 80129-2310

Mailing address

6364 S Kewaunee Way
Aurora, CO 80016-4298
Phone (224) 805-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000458 CO Order and Referring Only - DentistPractitioner - Dentist 8527340546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10689COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
George F. Beilby, DDS Dentist Past Accepting new patients
Amy Roberts DDS, PLLC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483747200000",
    "number": "1518094069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6364 S KEWAUNEE WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164298",
            "telephone_number": "224-805-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAZA DR STE 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292310",
            "telephone_number": "303-683-3332",
            "fax_number": "303-683-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.