Organization Active NPI

Dennis F Roberts DO

  • Obstetrics & Gynecology Physician
  • Indio, CA
National Provider Identifier
1669548483
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A6099 Issued in CA
Legal business name
DENNIS F ROBERTS DO
Practice address
81 880 Dr Carreon Blvd
Suite C212
Indio, CA 92201-5519
Phone
(760) 342-6407
Fax
(760) 347-4617
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Dennis F Roberts, DONPI 1831123900
Title
OB GYN
Phone
(760) 342-6407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 20A6099 CA Primary

Addresses

Primary practice location

81 880 Dr Carreon Blvd
Suite C212
Indio, CA 92201-5519

Mailing address

81 880 Dr Carreon Blvd
Suite C212
Indio, CA 92201-5519
Phone (760) 342-6407

Other identifiers 1

IdentifierTypeStateIssuer
00AX60990MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1669548483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 880 DR CARREON BLVD",
            "address_2": "SUITE C212",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015519",
            "telephone_number": "760-342-6407",
            "fax_number": "760-347-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 880 DR CARREON BLVD",
            "address_2": "SUITE C212",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015519",
            "telephone_number": "760-342-6407",
            "fax_number": "760-347-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS F ROBERTS DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OB GYN",
        "authorized_official_telephone_number": "760-342-6407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A6099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX60990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.