Jared Emerson Roberts, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60756718 Issued in WA

Practice address

9692 Levin Rd NW Ste 202
Silverdale, WA 98383-7801

Phone

(360) 698-2323

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Dansie Professional Services PLLC

  • Dentist
  • Renton, WA
  • NPI 1760094148
  NPD
• Dansie Smart Dental LLC

  • Dental Clinic/Center
  • Silverdale, WA
  • NPI 1639864945
  NPD
• Brian Dansie, D.D.S.,M.S.,P.L.L.C.

  • Dentist
  • Renton, WA
  • NPI 1952855538
  NPD (past)
• J. Lothyan, D.D.S., P.L.L.C.

  • Pediatric Dentistry
  • Auburn, WA
  • NPI 1144556127
  NPD (past)
• Jared D. Lothyan DDS, PS

  • Pediatric Dentistry
  • Renton, WA
  • NPI 1588798839
  NPD (past)
• Kent Nuttall DMD PS

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1942533351
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1972033496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 LEVIN RD NW STE 202",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837801",
            "telephone_number": "360-698-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 LEVIN RD NW STE 202",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837801",
            "telephone_number": "360-698-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Duvall Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980593975",
            "country_code": "US",
            "telephone_number": "425-264-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "722 12th St SE",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980026708",
            "country_code": "US",
            "telephone_number": "253-939-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 Renton Center Way SW Ste 62",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572378",
            "country_code": "US",
            "telephone_number": "425-255-5532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JARED",
        "middle_name": "EMERSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60756718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgetop Vision Care
• Joni Lane Riggs, LPN
• Jacob Riley, DPT
• Kaitlin Rink, AUD
• Robert John Ripps, SUBMARINE IDC
• Rebecca Roberts
• Kellie Kristina Robison, LICSW
• Rachael Christine Roche
• Judy Darlene Roda
• Franklin Antonio Rodriguez Mendoza

• Pediatric Dentistry in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.