Individual provider Active NPI

Lauren Ashley Roberts, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1558855916
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00203910 Issued in CO
Practice address
3380 W 38TH Ave
Denver, CO 80211-1910
Phone
(303) 458-1361
NPI assigned
Jun 19, 2018
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DEN.00203910 CO Primary

Addresses

Primary practice location

3380 W 38TH Ave
Denver, CO 80211-1910

Mailing address

PO Box 1025
Lafayette, CO 80026-4025
Phone (225) 202-7002

Other practice location 1

600 11th Ave N Apt 517
Nashville, TN 37203-4569
Phone (225) 202-7002

Other practice location 2

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-5572

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
I20191108002588 CO Order and Referring Only - DentistPractitioner - Dentist 0042642282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00203910COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Dentists, LLP Multi-Specialty PastSince Sep 15, 2019 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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1558855916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800264025",
            "telephone_number": "225-202-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111910",
            "telephone_number": "303-458-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 11th Ave N Apt 517",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372034569",
            "country_code": "US",
            "telephone_number": "225-202-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Dr Db Todd Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083501",
            "country_code": "US",
            "telephone_number": "615-327-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.