KIM ROBERTS
NPI 1508928169
Dentist - General Practice in Prescott Valley, AZ

Active since December 13, 2006PECOS Enrolled
3212 N WINDSONG DR FL 2, PRESCOTT VALLEY, AZ 86314(928) 583-1000 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Roberts NPPES

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

KIM ROBERTS (NPI 1508928169) is an individual general practice provider in Prescott Valley, Arizona, licensed in Arizona (10507) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508928169
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKIM ROBERTS
Location Address3212 N WINDSONG DR FL 2Prescott Valley, AZ 86314-2255
Mailing Address476 North 900 WestAmerican Fork, UT 84003 · (801) 756-5522
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 20, 2019
NPI 1508928169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in AZ · 10507 Licensed in UT · 142369-9922
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.
3212 N WINDSONG DR FL 2, Prescott Valley, AZ 86314

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kim Roberts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3212 N WINDSONG DR FL 2
PRESCOTT VALLEY, AZ 86314
Dentist
3212 N WINDSONG DR FL 2
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Pediatrics)
3212 N WINDSONG DR FL 2
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3212 N WINDSONG DR FL 2
PRESCOTT VALLEY, AZ 86314

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 Kim Roberts's NPI number?

The NPI number for Kim Roberts is 1508928169. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Kim Roberts located?

Kim Roberts practices at 3212 N Windsong Dr Fl 2, Prescott Valley, AZ 86314. The listed phone number is (928) 583-1000.

What is Kim Roberts's specialty?

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

Is Kim Roberts enrolled in Medicare?

Yes. Kim Roberts is registered in the Medicare PECOS enrollment system.

What insurance does Kim Roberts accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Kim Roberts 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 Kim Roberts was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.