Roanne Shoubaki
NPI 1053005504 · General Practice Dentistry · Georgetown, TX
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roanne Shoubaki is a General Practice Dentistry provider in Georgetown, TX (NPI 1053005504).
Provider details
- NPI number
- 1053005504
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 39434 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Frequently asked questions
- What is Roanne Shoubaki's NPI number?
- Roanne Shoubaki's National Provider Identifier (NPI) is 1053005504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roanne Shoubaki's specialty?
- Roanne Shoubaki is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Roanne Shoubaki located?
- Roanne Shoubaki's practice location on file with NPPES is 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268.
- What is Roanne Shoubaki's phone number?
- The practice phone number listed in the NPPES registry for Roanne Shoubaki is (877) 800-5722.
- Does Roanne Shoubaki accept Medicare?
- Roanne Shoubaki is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roanne Shoubaki's NPI active?
- Yes — Roanne Shoubaki's NPI (1053005504) is active in the NPPES registry as of the last update on 2025-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.