Dan Roberts, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAN ROBERTS, DMD, PLLC

Practice address

2335 SW 320TH St Ste 1
Federal Way, WA 98023-2569

Phone

(253) 661-2222

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dan Roberts

Title

Dentist

Phone

(425) 890-7155

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Daniel Allan Roberts, DMD

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1770917551
  NPD
• Stacy Reed Kanda, DDS

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1063495174
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623542400000",
    "number": "1639712797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 110TH AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721846",
            "telephone_number": "425-890-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 SW 320TH ST STE 1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232569",
            "telephone_number": "253-661-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN ROBERTS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-890-7155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary H Czuk, MD
• Dana Sophia D'Eagle, OT
• Kayla Dacarus
• Lucia Y Dai, MD
• Hannah Dallum
• Alan Dang, DPT
• Huyen My Dang
• Khoi Dang, PHARMD
• Phong Thanh Dang, D.D.S.
• Van Quoc Dang, D.M.D.

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.