Organization Active NPI

Rene Welch Roberts, D.M.D., P.C.

  • General Practice Dentistry
  • Columbus, GA
National Provider Identifier
1720128226
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011640 Issued in GA
Legal business name
RENE WELCH ROBERTS, D.M.D., P.C.
Practice address
2751 Warm Springs Rd
Suite B
Columbus, GA 31904-6858
Phone
(706) 494-2679
Fax
(706) 494-2697
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. Rene Welch Roberts, D.M.D.NPI 1134269699
Title
President
Phone
(706) 494-2679

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN011640 GA Primary

Addresses

Primary practice location

2751 Warm Springs Rd
Suite B
Columbus, GA 31904-6858

Mailing address

2751 Warm Springs Rd
Suite B
Columbus, GA 31904-6858
Phone (706) 494-2679

Other identifiers 1

IdentifierTypeStateIssuer
2161791-UUOtherGAEMPLOYER STATE ID

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1720128226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 WARM SPRINGS RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046858",
            "telephone_number": "706-494-2679",
            "fax_number": "706-494-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WARM SPRINGS RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046858",
            "telephone_number": "706-494-2679",
            "fax_number": "706-494-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE WELCH ROBERTS, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "WELCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-494-2679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER STATE ID",
            "identifier": "2161791-UU",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.