KIM ROBERTS (NPI# 1508928169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508928169 |
| Entity Type | Individual |
| Full Name | KIM ROBERTS |
| Practice Address |
3212 N Windsong Dr Fl 2 Prescott Valley AZ 86314-2255 |
| Mailing Address |
476 North 900 West American Fork UT 84003 |
| Practice Telephone | 9285831000 |
| Mailing Telephone | 8017565522 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10507 | AZ | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
142369-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164887 | Kim Marei Roberts | Speech-Language Pathologist | 540 Sunnyside Dr, Flushing, MI 48433-1474 | 2018-12-03 |
| 1891168373 | Kim Land Roberts | Counselor | 17 Felton Pl Ste A, Cartersville, GA 30120-2153 | 2015-11-05 |
| 1184805996 | Kim Daniel Roberts | Social Worker | 132 S State St, Suite 100, Salt Lake City, UT 84111-1506 | 2007-11-20 |
| 1285669978 | Kim J Roberts | Nurse Anesthetist, Certified Registered | 5801 Bremo Rd, American Anesthesiology of Virginia, PC, Richmond, VA 23226-1907 | 2006-07-11 |
| Street Address |
3212 N WINDSONG DR FL 2 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568611267 | James Paul Joseph | Dentist | 3212 N Windsong Dr Fl 2, Prescott Valley, AZ 86314-2254 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871803825 | Florencia Hernandez | Dentist | 8256 E State Route 69, Prescott Valley, AZ 86314-8403 | 2010-10-08 |
| 1285956524 | Sunwest Dental Center, IIi LLC | Dentist | 8256 E. Highway 69, Prescott Valley, AZ 86314-8631 | 2010-02-26 |
| 1124270541 | Highland Dental,pllc | Dentist | 3253 North Windsong Drive, Prescott Valley, AZ 86314 | 2008-10-16 |
| 1629252861 | Robert Dallas Branstrator | Dentist | 3253 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2007-12-24 |
| 1134276827 | Russel E. Dalton | Dentist | 8066 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2007-01-04 |
| 1033226048 | David Reginald Hunsaker | Dentist | 7890 E Florentine Rd, Prescott Valley, AZ 86314 | 2006-08-24 |
| 1710448956 | Hillary Koh | Dentist | 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314-1353 | 2019-03-29 |
| 1306307004 | Michael David Kleeman | Dentist | 7890 E Florentine Rd, Prescott Valley, AZ 86314-1204 | 2019-03-26 |
| 1023504297 | Jonathan Park | Dentist | 7890 E Florentine Rd, Prescott Valley, AZ 86314-1204 | 2018-07-10 |
| 1336633981 | Sarah Anne Hansen | Dentist | 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314-1353 | 2018-06-18 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.