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Dr. Evan Roberts , DDS

Dentist β€’ Jbsa Lackland, TX

Active NPI 1821378084 Individual Practitioner Male Practitioner
Practice location in NPPES

Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236

Call 2105397036 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop

Jbsa Lackland, TX 78236

Telephone 2105397036
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Keesler Afb, MS; Usaf Academy, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jbsa Lackland and Texas

44 active clinicians are listed under Dentist with a practice address in Jbsa Lackland, TX (6,580 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jbsa Lackland

0% of these 44 clinicians have the CMS telehealth indicator.

0% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES TX 27079

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

4102 Pinion Dr

Usaf Academy, CO 808402502

Phone: 7193335477

606 Fisher St, 81 Dental Squadron/sgd

Keesler Afb, MS 395342513

Phone: 2283760511

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 08, 2024

Registered at WILFORD HALL AMBULATORY SURGICAL CENTER, 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236 (Tel: 2105397036)

πŸ“
Updated Business Mailing Address August 08, 2024

Registered at WILFORD HALL AMBULATORY SURGICAL CENTER, 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236 (Tel: 2105397036)

πŸ“
Updated Practice Location April 06, 2018

Registered at 4102 PINION DR, USAF ACADEMY, CO 808402502 (Tel: 7193335477)

πŸ“
Updated Business Mailing Address April 06, 2018

Registered at 4102 PINION DR, US AIR FORCE, CO 808402502

βœ…
NPI Profile Active August 19, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2011

Registered at 606 FISHER ST, 81 DENTAL SQUADRON/SGD, KEESLER AFB, MS 395342513 (Tel: 2283760511)

πŸ“
Business Mailing Address (Initial Record) August 19, 2011

Registered at 606 FISHER ST, 81 DENTAL SQUADRON/SGD, KEESLER AFB, MS 395342513

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2011

Recorded as EVAN ROBERTS, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2011

Dentist (license number reported to NPPES: TX 27079)

🟒
Initial NPI Registration & Enumeration August 19, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821378084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2011
Last Update: August 08, 2024
Sole Proprietor: No

Other Dentists in Jbsa Lackland

Mailing Address

Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop

Jbsa Lackland, TX 78236

Phone: 2105397036

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.