Individual provider Active NPI

Stevie Ames Roberts, DMD

  • Dentist
  • Kirkland, WA
National Provider Identifier
1851867451
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042002 Issued in PA
Practice address
5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398
Phone
(215) 939-1988
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042002 PA Primary

Addresses

Primary practice location

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

Mailing address

1804 Rittenhouse SQ
Philadelphia, PA 19103-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042002PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stevie Ames Roberts, DMD, PLLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

5726 Lake Washington Blvd NE
Ste S2
Kirkland, WA 98033
Phone (215) 939-1988

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1851867451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 RITTENHOUSE SQ",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035802"
        },
        {
            "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": "215-939-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "STEVIE",
        "middle_name": "AMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042002",
            "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 Oct 22, 2024; 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.