NPIMap

Organization Active NPI

H. Bartleigh Smith DDS & Ryan P. Roberson DDS LLP

  • Dentist
  • Georgetown, TX
National Provider Identifier
1760641856
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14367 Issued in TX
Legal business name
H. BARTLEIGH SMITH DDS & RYAN P. ROBERSON DDS LLP
Practice address
3006 Dawn Dr
Georgetown, TX 78628-2879
Phone
(512) 869-5997
Fax
(512) 869-2036
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Ryan Payne Roberson, DDSNPI 1093934630
Title
Partner Dentist
Phone
(512) 869-5997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21726 TX
Dentist 122300000X 14367 TX Primary

Addresses

Primary practice location

3006 Dawn Dr
Georgetown, TX 78628-2879

Mailing address

3006 Dawn Dr
Georgetown, TX 78628-2879
Phone (512) 869-5997

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": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1760641856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 DAWN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282879",
            "telephone_number": "512-869-5997",
            "fax_number": "512-869-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 DAWN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282879",
            "telephone_number": "512-869-5997",
            "fax_number": "512-869-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. BARTLEIGH SMITH DDS & RYAN P. ROBERSON DDS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "512-869-5997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21726",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.