Raynese S. Roberts, D.D.S.
NPI 1003891748ActiveIndividual· Dentist, Periodontics· Fpo, AE
Dentist, Periodontics (D.D.S.) in Fpo, Armed Forces Europe, licensed in OH and CA, with an NPI issued in December 2005.
Overview
| NPI | 1003891748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Dec 14, 2005 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 30.020955 | OH |
| Dentist, Periodontics | 1223P0300X | 53140 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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