Robert Iverson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

35911 Issued in CA

Practice address

511 Byron St
Palo Alto, CA 94301-2007

Phone

(650) 323-1381

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 19, 2013 through Sep 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wachhorst Leigh & Meinster a Dental Corp

  • General Practice Dentistry
  • Palo Alto, CA
  • NPI 1669551040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043370299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BYRON ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012007",
            "telephone_number": "650-323-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BYRON ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012007",
            "telephone_number": "650-323-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azadeh Ashley Issapour, MD
• Talar Istanboulian
• Hiroshi Ito
• Rebecca Ann Ivancie, MD
• Anna Catherine Iversen, MSGC
• Mallika Bhavani Iyer-Horiuchi, MD
• Sowmya Srinivasan Iyer, MD
• Samantha Izuno, MD
• Ashley Nicole Jackowski I, MA, BCBA
• Dalonna Trenae Jackson

• Dentist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Dentist in California

• 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.

Verify at the official NPI Registry.