DR. SHANNON DOBELBOWER ROBERTS D.D.S.
NPI 1740535814
Dentist - General Practice in Peterson Afb, CO
About Dr. Shannon Dobelbower Roberts D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON DOBELBOWER ROBERTS D.D.S. (NPI 1740535814) is an individual general practice provider in Peterson Afb, Colorado, licensed in Colorado (203132) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shannon Dobelbower Roberts D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80917
- Reassigned Medicare billing, Colorado enrollment
- 355 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PETERSON AFB, CO 80914
COLORADO SPRINGS, CO 80914
COLORADO SPRINGS, CO 80914
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 Shannon Roberts's NPI number?
The NPI number for Shannon Roberts is 1740535814. It was assigned to this individual provider in the NPPES registry on July 16, 2012.
Where is Shannon Roberts located?
Shannon Roberts practices at 559 Vincent St Bldg 959, Peterson Afb, CO 80914. The listed phone number is (719) 556-1333.
What is Shannon Roberts's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Shannon Roberts enrolled in Medicare?
Yes. Shannon Roberts is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Roberts reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Roberts was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Shannon Dobelbower Roberts, D.D.S. · NPI 1740535814
General Practice provider in Peterson Afb, Colorado. Individual provider, active in the CMS NPPES registry since July 16, 2012.
## Identity
- **NPI:** 1740535814 (Entity type: Individual)
- **Enumerated:** July 16, 2012
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 203132 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 559 VINCENT ST BLDG 959, Peterson Afb, CO 80914-1541
- **Phone:** (719) 556-1333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Peak Vista Community Health Centers (NPI 1730166034, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1740535814) · Data from the CMS NPPES public registry.