R Kendall Roberts DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

R KENDALL ROBERTS DDS PA

Practice address

5505 Euper LN
Fort Smith, AR 72903-3233

Phone

(479) 478-6060

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Marnie Sanz

Title

Credentialing Specialist

Phone

(615) 942-0204

Specialties & licenses 1

Addresses

Practitioners 2

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

• Douglas Terry, DMD

  • Dentist
  • Fort Smith, AR
  • NPI 1932093572
  NPD
• Van Michael McQueen Jr., DDS

  • General Practice Dentistry
  • Fayetteville, AR
  • NPI 1518496215
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1669169199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306488",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306488",
            "telephone_number": "615-942-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033233",
            "telephone_number": "479-478-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R KENDALL ROBERTS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "SANZ",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-942-0204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iram Qureshi
• Kiran Qureshi, MD
• R & S Dental Services LLC
• R and a Radiology LLP
• R K Girlinghouse DDS PA
• Dana P Rabideau, MD
• Muthukumar Radhakrishnan, M.D.
• Radiologists PA
• Radiology Services P a
• Islam A Ragab

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.