Active NPI
Robert Steven Carlish, DMD
- Periodontics
- Danville, VA
National Provider Identifier
1003011818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401005823
- Practice address
- 140 Piney Forest Road
Suite # 3
Danville, VA 24540-4170 - Phone
- (434) 793-1400
- Fax
- (434) 793-1401
- NPI assigned
- Jun 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401005823 | VA | Primary |
Addresses
Primary practice location
140 Piney Forest Road
Suite # 3
Danville, VA 24540-4170
Mailing address
140 Piney Forest Road
Suite # 3
Danville, VA 24540-4170
Phone (434) 793-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 15, 2015 through Apr 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003011818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PINEY FOREST ROAD",
"address_2": "SUITE # 3",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245404170",
"telephone_number": "434-793-1400",
"fax_number": "434-793-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PINEY FOREST ROAD",
"address_2": "SUITE # 3",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245404170",
"telephone_number": "434-793-1400",
"fax_number": "434-793-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISH",
"first_name": "ROBERT",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401005823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.