Organization Active NPI

Richard D. Roblee DDS

Doing business as Roblee Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, AR
National Provider Identifier
1598854176
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2720 Issued in AR
Legal business name
RICHARD D. ROBLEE DDS
Doing business as
Roblee Orthodontics
Practice address
162 E Sunbridge Dr
Fayetteville, AR 72703
Phone
(479) 521-6060
Fax
(479) 521-4161
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Dr. Richard David Roblee, DDS, MS
Title
Owner
Phone
(479) 521-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 2720 AR Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 3412 AR

Addresses

Primary practice location

162 E Sunbridge Dr
Fayetteville, AR 72703

Mailing address

162 E Sunbridge Dr
Fayetteville, AR 72703-2830
Phone (479) 521-6060

Other practice location 1

162 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 521-6060

Other identifiers 12

IdentifierTypeStateIssuer
14242OtherTXRDR TEXAS LICENSE
200046150 AOtherOKOK SOONERCARE RDR
200046160 AOtherOKOK SOONERCARE JML
154OtherOKJML OKLAHOMA LICENSE
U06567OtherARBCBS UPIN
155641608MedicaidAR
5F054OtherARBCBS GROUP ID #
200046140 AOtherOKOK SOONERCARE GROUP ID
3412OtherARJML ARKANSAS LICENSE
58127OtherARBCBS ID #
887681OtherARUNITED CONCORDIA ID #
2720OtherARRDR ARKANSAS LICENSE

Other names 1

  • Roblee Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

162 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 521-6060

162 E Sunbridge Dr
#A
Fayetteville, AR 72703
Phone (479) 521-6060

1915 N Green Acres Rd
Fayetteville, AR 72703
Phone (479) 442-8961

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1598854176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032830",
            "telephone_number": "479-521-6060",
            "fax_number": "479-521-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-521-6060",
            "fax_number": "479-521-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 E Sunbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "72703",
            "country_code": "US",
            "telephone_number": "479-521-6060",
            "fax_number": "479-521-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD D. ROBLEE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "ROBLEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-521-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2720",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDR TEXAS LICENSE",
            "identifier": "14242",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK SOONERCARE RDR",
            "identifier": "200046150 A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK SOONERCARE JML",
            "identifier": "200046160 A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JML OKLAHOMA LICENSE",
            "identifier": "154",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS UPIN",
            "identifier": "U06567",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155641608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID #",
            "identifier": "5F054",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK SOONERCARE GROUP ID",
            "identifier": "200046140 A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JML ARKANSAS LICENSE",
            "identifier": "3412",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "58127",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID #",
            "identifier": "887681",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDR ARKANSAS LICENSE",
            "identifier": "2720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roblee Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roblee Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.