DR. DERRELL JAY ROACH DDS
NPI 1386719649
Dentist - General Practice in San Antonio, TX

Q: What is Derrell Roach's NPI number?

The NPI number for Derrell Roach is 1386719649. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Derrell Roach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Derrell Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2006

14701 SAN PEDRO, STE 250, SAN ANTONIO, TX 78232(210) 507-9207 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Derrell Jay Roach Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRELL JAY ROACH DDS (NPI 1386719649) is an individual general practice provider in San Antonio, Texas, licensed in Texas (18665) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386719649

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DERRELL JAY ROACHCredential: DDS

Location Address14701 SAN PEDRO, STE 250San Antonio, TX 78232

Mailing Address14701 San Pedro, Suite #250San Antonio, TX 78232 · (210) 507-9207 · Fax (210) 491-2039

Phone(210) 507-9207

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386719649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 18665

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.

14701 SAN PEDRO, San Antonio, TX 78232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrell Roach's NPI number?

The NPI number for Derrell Roach is 1386719649. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Derrell Roach located?

Derrell Roach practices at 14701 San Pedro Ste 250, San Antonio, TX 78232. The listed phone number is (210) 507-9207.

What is Derrell Roach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Derrell Roach accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Derrell Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrell Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.