Debbie Roubal DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

DEN 8984 Issued in CO

Legal business name

DEBBIE ROUBAL DDS, PC

Practice address

1819 N Circle Dr
Suite #1
Colorado Springs, CO 80909-2430

Phone

(719) 636-1933

Fax

(719) 520-0063

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Debbie Roubal, DDSNPI 1760566533

Title

President

Phone

(719) 636-1933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbie Roubal, DDS

  • Dentist
  • Boulder, CO
  • NPI 1760566533
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932285632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 N CIRCLE DR",
            "address_2": "SUITE #1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092430",
            "telephone_number": "719-636-1933",
            "fax_number": "719-520-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N CIRCLE DR",
            "address_2": "SUITE #1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092430",
            "telephone_number": "719-636-1933",
            "fax_number": "719-520-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE ROUBAL DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUBAL",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-636-1933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN 8984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "664974",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Deatherage
• Ellen Deaustin, O.T.
• Stephanie Marie Deavila, APRN
• Deb Elliott-Desorbo, PH.D., LLC
• Rebecca Debalski
• Pamela J Deberghes, MD
• Kathryn L Deblock, MA
• Tabitha Debnam
• Alexis Deboe
• Deboer Counseling Services, Inc.

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.