Chris R Roberts, D.D.S – Dentist in Denver, CO

Key facts

NPI: 1992966840
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 9944 (CO)
Practice address: 4809 Argonne St
Suite 230
Denver, CO 80249-6834
Phone: (303) 371-4485
NPI assigned: Jun 23, 2008
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Chris R Roberts DDS, PC Pediatric Dentistry · Denver, CO · NPI 1134432743

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
9944	CO	MD	Dentist
30-022799	OH	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Chris R Roberts DDS, PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	30-022799	OH
Dentist	122300000X	9944	CO	Yes

Addresses

Primary practice location

4809 Argonne St
Suite 230
Denver, CO 80249-6834

Mailing address

4809 Argonne St
Suite 230
Denver, CO 80249-6834
Phone (303) 371-4485

Other identifiers

Identifier	Type	State	Issuer
80088261	Medicaid	CO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2013.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1992966840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "address_2": "SUITE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-371-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "address_2": "SUITE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-371-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHRIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022799",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80088261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

All providers in Denver, CO · Dentist in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.