Julie Spettel Roberts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018546 Issued in OH

Practice address

107 West Main Street
Norwalk, OH 44857

Phone

(419) 668-1317

Fax

(419) 663-9694

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fisher-Titus Medical Center

  • Home Health Agency
  • Norwalk, OH
  • NPI 1255359568

  Corporate Director

  CMS ownership
• Fisher-Titus Medical Center

  • Skilled Nursing Facility
  • Norwalk, OH
  • NPI 1780602193

  Corporate Director

  CMS ownership
• Fisher-Titus Medical Center

  • General Acute Care Hospital
  • Norwalk, OH
  • NPI 1992738959

  Corporate Director

  CMS ownership

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.

• Kaiser Community Pharmacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Norwalk, OH
  • NPI 1942755285
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1881761336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEST MAIN STREET",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "44857",
            "telephone_number": "419-668-1317",
            "fax_number": "419-663-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEST MAIN STREET",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "44857",
            "telephone_number": "419-668-1317",
            "fax_number": "419-663-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JULIE",
        "middle_name": "SPETTEL",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel G Ringenberg, PHARMD
• Heather Marie Ringle
• Riser Foods Company
• Rite Aid of Ohio Inc
• Kaitlyn M Rizzo, DO
• Caitlin Patrice Robertson, AU.D.
• Eric James Robertson, LSW
• Francis Ann Robinson, LSW
• Lauren Teresa Robinson, PCC
• Brandi J. Roeder, RN, CDE

• General Practice Dentistry in Norwalk, OH
• Providers in Norwalk, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.