Ashley Theodore Roberts, DMD

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

6171 Issued in NV

Practice address

3055 Saint Rose Pkwy Unit 777112
Henderson, NV 89077-8805

Phone

(702) 553-6762

Fax

(855) 655-4767

NPI assigned

Aug 4, 2011

Last updated

May 6, 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.

• Red Rock Dental Anesthesia, LLC

  • Dental Anesthesiology
  • Henderson, NV
  • NPI 1821985383
  NPD Authorized official
• Board of Regents, Nevada System of Higher Education

  dba University of Nevada, Las Vegas School of Dental Medicine

  • Student in an Organized Health Care Education/Training Program
  • Las Vegas, NV
  • NPI 1053414862
  NPD (past)

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1932488210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SAINT ROSE PKWY UNIT 777112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778805",
            "telephone_number": "702-553-6762",
            "fax_number": "855-655-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SAINT ROSE PKWY UNIT 777112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778805",
            "telephone_number": "702-553-6762",
            "fax_number": "855-655-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ASHLEY",
        "middle_name": "THEODORE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "D009435",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NV",
            "license": "6171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Karl MD LTD
• Robert M Yeh MD PC
• Robert Pham DDS a Professional Corp.
• Robert Toledo DO LTD
• Robert W Shreck MD LTD (Shreck Family Health Care)
• Brittney Nicole Roberts, OTD, OTR/L
• Cheryl Roberts, DPT
• Deborah Ruth Roberts, M.S., MFT, LADC
• Dorothy Roberts
• Jacob Roberts

• Dental Anesthesiology in Henderson, NV
• Providers in Henderson, NV by specialty
• Dental Anesthesiology in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.