Donald L Roberts, DMD MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1463 Issued in MT

Practice address

2675 Central Ave
Ste L8
Billings, MT 59102-6686

Phone

(406) 652-8411

Fax

(406) 652-7905

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
  • NPI 1073656567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558493239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 CENTRAL AVE",
            "address_2": "STE L8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026686",
            "telephone_number": "406-652-8411",
            "fax_number": "406-652-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 CENTRAL AVE",
            "address_2": "STE L8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026686",
            "telephone_number": "406-652-8411",
            "fax_number": "406-652-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MT",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011-0364",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert T Ruble, M.D., P.C.
• Aimee Roberts, OTR/L
• Bradley Roberts, ACNP-BC
• Cherish L Roberts, LCPC
• David B Roberts, MD
• Kristine Roberts, PT
• Sari Anne Robertus
• Tia Jaylynn Robinette, MSW, LCSW
• Aleah Robinson, PHYSICIAN ASSISTANT
• Ashley Alicia Robinson, PHARM.D

• Oral and Maxillofacial Surgery (Dentist) in Billings, MT
• Providers in Billings, MT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.