Organization Active NPI

Stevie Ames Roberts, DMD, PLLC

  • Dental Clinic/Center
  • Kirkland, WA
National Provider Identifier
1710647714
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEVIE AMES ROBERTS, DMD, PLLC
Practice address
5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398
Phone
(425) 284-0515
NPI assigned
Dec 19, 2021
Last updated
Dec 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Authorized official

Name
Dr. Stevie Ames Roberts, DMDNPI 1851867451
Title
President
Phone
(425) 284-0515

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398

Mailing address

5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398
Phone (425) 284-0515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639872000000",
    "number": "1710647714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 LAKE WASHINGTON BLVD NE STE S2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337398",
            "telephone_number": "425-284-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 LAKE WASHINGTON BLVD NE STE S2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337398",
            "telephone_number": "425-284-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVIE AMES ROBERTS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_middle_name": "AMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-284-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.