Individual provider Active NPI

Christopher Eugene Roberts, DDS, PA

  • Dentist
  • North Wilkesboro, NC
National Provider Identifier
1841384526
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7171 Issued in NC
Practice address
1419 W D St
North Wilkesboro, NC 28659-3509
Phone
(336) 667-9991
Fax
(336) 667-8332
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7171 NC Primary

Addresses

Primary practice location

1419 W D St
North Wilkesboro, NC 28659-3509

Mailing address

PO Box 1266
North Wilkesboro, NC 28659-1266
Phone (336) 667-9991

Other identifiers 1

IdentifierTypeStateIssuer
899015UMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204003565 NC Practitioner - Dentist 3274036462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 3Rd St SE
Moultrie, GA 31768-5920

1419 W D St
North Wilkesboro, NC 28659-3509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7171NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brushy MTN Sleep Solutions LLC General Practice CurrentSince Feb 2, 2024 Accepting new patients
Christopher E. Roberts, DDS, PA General Practice Past Accepting new patients

Locations

1401 Willow Ln
North Wilkesboro, NC 28659

1419 W D St
North Wilkesboro, NC 28659
Phone (336) 667-1254

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1841384526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591266",
            "telephone_number": "336-667-9991",
            "fax_number": "336-232-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W D ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593509",
            "telephone_number": "336-667-9991",
            "fax_number": "336-667-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHRISTOPHER",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899015U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.