Individual provider

Shannon Roberts, D.D.S.

General Practice Dentistry Medicare enrolled

Shannon Roberts, D.D.S. is a provider specialising in General Practice Dentistry in Peterson Afb, CO, registered under NPI 1740535814. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 559 VINCENT ST BLDG 959, Peterson Afb, CO 80914. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

559 VINCENT ST BLDG 959, Peterson Afb, CO 80914 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
203132 CO General Practice Dentistry primary
28131 TX General Practice Dentistry

Licences are recorded in 2 states: CO, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
4789980962
Enrollment ID
I20191108002335

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Colorado and Texas. The practice address on file is in Peterson Afb, CO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado practice address
Licence
203132
Specialty
General Practice Dentistry
Verify with the CO board →
TX Texas
Licence
28131
Specialty
General Practice Dentistry
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

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. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice 203132 CO primary
1223G0001X General Practice Dentistry General Practice 28131 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1740535814 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 16, 2012
Last updatedMar 30, 2018
StatusActive
Sole proprietorYes
CredentialD.D.S.
Practice address 559 VINCENT ST BLDG 959
Peterson Afb, CO 80914
(719) 556-1333
This record was last updated on Mar 30, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1740535814 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 4 0 5 3 5 8 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 8 0 1 3 1 8 2

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1740535814?
NPI 1740535814 is the National Provider Identifier assigned to Shannon Roberts, D.D.S. in Peterson Afb, CO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Shannon Roberts, D.D.S.?
The phone number on file with NPPES is (719) 556-1333, last updated Mar 30, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shannon Roberts, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1740535814 a valid number?
Yes. 1740535814 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.