Individual provider Active NPI

Roberto K. Giles

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1952455792
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19281 Issued in TX
Practice address
2414 Crescent Hollow CT
Spring, TX 77388-2701
Phone
(281) 362-8979
Fax
(281) 681-2115
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1259 PR
General Practice Dentistry 1223G0001X 19281 TX Primary

Addresses

Primary practice location

2414 Crescent Hollow CT
Spring, TX 77388-2701

Mailing address

2414 Crescent Hollow CT
Spring, TX 77388-2701
Phone (281) 475-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160620000739 TX Order and Referring Only - DentistPractitioner - Dentist 5890086011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19281TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1952455792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CRESCENT HOLLOW CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773882701",
            "telephone_number": "281-475-0239",
            "fax_number": "281-681-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 CRESCENT HOLLOW CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773882701",
            "telephone_number": "281-362-8979",
            "fax_number": "281-681-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "ROBERTO",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1259",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.