Patrick David Michael Roberts, ORTHOPEDIC TECH

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

041918050 Issued in FL

Practice address

690 Minot Ave Ste 2
Auburn, ME 04210-3969

Phone

(207) 783-1328

Fax

(207) 344-2480

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1699304535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-939-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MINOT AVE STE 2",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103969",
            "telephone_number": "207-783-1328",
            "fax_number": "207-344-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PATRICK",
        "middle_name": "DAVID MICHAEL",
        "credential": "ORTHOPEDIC TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "FL",
            "license": "041918050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Auburn",
            "affiliation": "N",
            "endpointDescription": "Patrick.Roberts@spectrumhcp.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "690 Minot Ave Ste 2",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042103969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Riverview Dental Associates
• Laura Ann Roach, P.T.
• Claire Robarts, LCSW
• Robert D Limoges D.M.D.,P.a.
• Margaret Leigh Roberts, LMSW-CC
• Diane T. Rohman, LMT,RN
• Eunice Rono
• Mitchell K Ross, MD
• Kim Roth
• Madison Lianne Rowe, DPT

• All providers in Auburn, ME
• Technician/Technologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.