Organization Active NPI

Brian B Roberts DDS PLC

  • Orofacial Pain Dentistry
  • Gilbert, AZ
National Provider Identifier
1861097107
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
BRIAN B ROBERTS DDS PLC
Practice address
4365 E Pecos Rd Ste 137
Gilbert, AZ 85295-8053
Phone
(480) 507-1943
Fax
(480) 988-0203
NPI assigned
Dec 3, 2020
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Brian B Roberts, DDSNPI 1740471184
Title
Owner
Phone
(480) 309-4709

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

4365 E Pecos Rd Ste 137
Gilbert, AZ 85295-8053

Mailing address

4365 E Pecos Rd Ste 137
Gilbert, AZ 85295-8053
Phone (480) 507-1943

National Provider Directory

National Provider Directory

Locations

4365 E Pecos Rd
Ste 137
Gilbert, AZ 85295
Phone (480) 507-1943

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": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1861097107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 137",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-507-1943",
            "fax_number": "480-988-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 137",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-507-1943",
            "fax_number": "480-988-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN B ROBERTS DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-309-4709",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.