DR. JARED ROBERTSON


Address: 10000 Coors Byp Nw, Suite G218, Albuquerque, NM 87114-4040
Phone: 5052424867

DR. JARED ROBERTSON (NPI# 1942565270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942565270
Entity Type Individual
Full Name DR. JARED ROBERTSON
Credential D.D.S.
Practice Address 10000 Coors Byp Nw
Suite G218
Albuquerque
NM 87114-4040
Practice Telephone 5052424867
Practice Fax Number 5058902883
Mailing Telephone 5052424867
Mailing Fax Number 5058902883
Enumeration Date 2012-07-12
Last Update Date 2012-07-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DD3699 NM Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM STATE DENTAL LISENCE DD3699 01

Other Providers JARED ROBERTSON

NPI Name Taxonomy Address Enumeration
1265428734 Jared Y Robertson IIi Nurse Anesthetist, Certified Registered 3029 Wandering Dr, Kingsport, TN 37660-8758 2005-09-21
1316406572 Jared Young Robertson Iv Student in an Organized Health Care Education/Training Program 1542 Tulane Ave, New Orleans, LA 70112-2865 2019-03-18
1871069153 Jared Levon Robertson Nurse Practitioner 211 Cherry Ave, Oakley, KS 67748-1218 2018-10-15
1073918413 Jared Robertson Physician Assistant 10800 Magnolia Ave, Riverside, CA 92505-3043 2014-10-28

Office Location

Street Address 10000 COORS BYP NW
SUITE G218
City ALBUQUERQUE
State NM
Zip Code 87114-4040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477530541 Barry E Solomon Dentist 10000 Coors Byp Nw, R G 218, Albuquerque, NM 87114-4040 2005-12-29
1316233315 Dale Roberts Audiologist-Hearing Aid Fitter 10000 Coors Byp Nw, Albuquerque, NM 87114-4040 2011-06-28
1164717450 John Paduano Hearing Instrument Specialist 10000 Coors Byp Nw, Albuquerque, NM 87114-4040 2011-06-14
1710297486 Zachary T Currie Dentist 10000 Coors Byp Nw, Sutie G-218, Albuquerque, NM 87114-4040 2010-10-15
1043487119 Cottonwood Mall Dental Practice, LLC Clinic/Center 10000 Coors Byp Nw, # G-218, Albuquerque, NM 87114-4040 2008-05-08
1134316375 Beth Ann Heavner Audiologist-Hearing Aid Fitter 10000 Coors Byp Nw, Albuquerque, NM 87114-4040 2007-10-02
1366592560 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 10000 Coors Byp Nw, Cottonwood Mall, Albuquerque, NM 87114-4040 2007-01-11
1154338101 Jon Dagley Wagner Dentist 10000 Coors Byp Nw, Suite G-218, Albuquerque, NM 87114-4040 2006-08-02
1952381774 William Ashley Sapp Dentist 10000 Coors Byp Nw, G-218, Albuquerque, NM 87114-4040 2006-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891331773 Head To Toe Wellness, LLC Counselor 4619 Greene Ave, Suite D, Albuquerque, NM 87114 2019-11-26
1255896353 32 Degrees Genuine, LLC Counselor 10143 4th St Nw, Albuquerque, NM 87114 2019-02-04
1548789365 Maureen Chavez Occupational Therapist 10501 Golf Course, Albuquerque, NM 87114 2017-09-13
1982149043 Professional Case Coordination Services LLC Case Management 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 2016-12-28
1124494323 Geri Davis Nurse Practitioner 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 2015-08-11
1427432111 Marcia Nicole Cowen Nurse Practitioner 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 2015-07-13
1013315399 Amy Brown Counselor 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 2014-12-18
1851793392 Elaine Barbara Beckett Pharmacist 10224 Coors-by-pass Nw, Albuquerque, NM 87114 2014-09-16
1174924344 Sherrica Cressor Counselor 20 Pond Road, County Road 11, Cuba, NM 87114 2014-09-08
1427467513 Colleen Temkin Pharmacist 10224 Coors By Pass Nw, Albuquerque, NM 87114 2014-08-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841803830 Tri Dental, LLC Dentist 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 2020-08-28
1609485077 Joseph Potter Dentist 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 2020-07-30
1861024861 Brian K Dennis Dds PC Dentist 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 2020-02-07
1134769235 Abq Dentists PC Dentist 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 2020-01-07
1477197804 Juan Tabo Dentistry LLC Dentist 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 2019-10-29
1013550094 Bosque Smiles Dentistry, LLC Dentist 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 2019-10-23
1134686298 Brandon James Clayton Dentist 2003 Southern Blvd Se # 133-134, Albuquerque, NM 87124-3751 2019-02-25
1881158822 Advantage Dental Care Dentist 9212 Montgomery Blvd Ne, Albuquerque, NM 87111-2408 2019-01-23
1124599253 Kirtland Family Dentistry LLC Dentist 8521 Central Ave Ne Ste 101, Albuquerque, NM 87108-2501 2018-12-16
1962998443 Salia Khayoumi Dentist 333 San Mateo Blvd Se, Albuquerque, NM 87108-2919 2018-07-08
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Competitor

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City ALBUQUERQUE
Zip Code 87114

Improve Information

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Dataset Information

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.

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