Individual provider Active NPI

Robert Franklin Utberg, D.M.D.

  • Dentist
  • Parker, CO
National Provider Identifier
1790849438
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6956 Issued in CO
Practice address
17167 Cedar Gulch Pkwy
Suite 102
Parker, CO 80134-4411
Phone
(303) 841-5313
Fax
(303) 841-5557
NPI assigned
Dec 20, 2006
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6956 CO Primary

Addresses

Primary practice location

17167 Cedar Gulch Pkwy
Suite 102
Parker, CO 80134-4411

Mailing address

17167 Cedar Gulch Pkwy
Suite 102
Parker, CO 80134-4411
Phone (303) 841-5313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6956COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Utberg Family Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1790849438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 CEDAR GULCH PKWY",
            "address_2": "SUITE 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344411",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17167 CEDAR GULCH PKWY",
            "address_2": "SUITE 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344411",
            "telephone_number": "303-841-5313",
            "fax_number": "303-841-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTBERG",
        "first_name": "ROBERT",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.