Terrence Roberts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013359A Issued in IN

Practice address

996 W State St
Albany, IN 47320-1519

Phone

(765) 789-9048

Fax

(765) 789-9063

NPI assigned

Jun 5, 2020

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Terrence Roberts, DDS, LLC

  dba Albany Dental Care

  • General Practice Dentistry
  • Albany, IN
  • NPI 1134970288
  NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1891319794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 W STATE ST",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473201519",
            "telephone_number": "765-789-9048",
            "fax_number": "765-789-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 W STATE ST",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473201519",
            "telephone_number": "765-789-9048",
            "fax_number": "765-789-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Batesville Dental",
            "address_2": "391 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "47006",
            "country_code": "US",
            "telephone_number": "812-934-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TERRENCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013359A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T McCrady, DDS
• Michael T McCrady, DDS
• Audrea Ann Miller, PTA
• Jodi Lynn Morgan, LPTA
• Riverview Hospital (Albany Health & Rehabilitation Center)
• Joann Catherine Roessner, PTA
• Elizabeth A Simpson, N.P.
• Lindsey Sofronko, RBT
• Terrence Roberts, DDS, LLC (Albany Dental Care)
• Jessie Michele Vaughn, BCBA

• General Practice Dentistry in Albany, IN
• Providers in Albany, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.