Active NPI
Antonio Demektrick Roberts, DDS, MHS
- Pediatric Dentistry
- Alexandria, LA
National Provider Identifier
1518647601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7753
- Practice address
- 2235 S Macarthur Dr Ste B
Alexandria, LA 71301-3063 - Phone
- (318) 473-9544
- NPI assigned
- Jul 24, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7753 | LA | Primary |
| Pediatric Dentistry | 1223P0221X | 13385 | NC | |
| Pediatric Dentistry | 1223P0221X | 12741 | TN |
Addresses
Primary practice location
2235 S Macarthur Dr Ste B
Alexandria, LA 71301-3063
Mailing address
2235 S Macarthur Dr Ste B
Alexandria, LA 71301-3063
Phone (318) 473-9544
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 |
|---|---|---|---|
| 7753 | LA | MD | Professional Counselor |
| 12741 | TN | MD | Internal Medicine Physician |
| 13385 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1518647601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 S MACARTHUR DR STE B",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013063",
"telephone_number": "318-473-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 S MACARTHUR DR STE B",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013063",
"telephone_number": "318-473-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ANTONIO",
"middle_name": "DEMEKTRICK",
"name_prefix": "Dr.",
"credential": "DDS, MHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "7753",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "13385",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "12741",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.