Organization Active NPI

Christopher E. Roberts, DDS, PA

  • General Practice Dentistry
  • North Wilkesboro, NC
National Provider Identifier
1689822249
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC7171 Issued in NC
Legal business name
CHRISTOPHER E. ROBERTS, DDS, PA
Practice address
106 Elkin Hwy
North Wilkesboro, NC 28659
Phone
(336) 667-9991
NPI assigned
Sep 8, 2008
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Christopher E Roberts, DDS, PANPI 1841384526
Title
General Dentist
Phone
(336) 667-9991

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
General Practice Dentistry 1223G0001X NC7171 NC Primary

Addresses

Primary practice location

106 Elkin Hwy
North Wilkesboro, NC 28659

Mailing address

106 Elkin Hwy
North Wilkesboro, NC 28659
Phone (336) 667-9991

Other identifiers 2

IdentifierTypeStateIssuer
9202559MedicaidVA
899015UMedicaidNC

National Provider Directory

National Provider Directory

Locations

106 Elkin Hwy
North Wilkesboro, NC 28659
Phone (336) 667-9991

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": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1689822249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ELKIN HWY",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-667-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ELKIN HWY",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-667-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER E. ROBERTS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "336-667-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC7171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202559",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899015U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.