Robert Richard Labusohr, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4218 Issued in NC

Practice address

3200 Wendell Boulevard
Wendell, NC 27591

Phone

(919) 365-3127

Fax

(919) 365-3875

NPI assigned

Jul 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Heath B Brantley, DDS

  dba Wendell Family Dentistry

  • General Practice Dentistry
  • Wendell, NC
  • NPI 1538877469
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093745465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2049",
            "address_2": "3200 WENDELL BLVD.",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275912049",
            "telephone_number": "919-365-3127",
            "fax_number": "919-365-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WENDELL BOULEVARD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-365-3127",
            "fax_number": "919-365-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUSOHR",
        "first_name": "ROBERT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895082",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K. Jasinski, D.M.D., P.C. (Dental Care of Wendell Falls)
• K. Kevin Neshat, DDS, MD, PA (Wendell Family Dentistry)
• Katherine H. Peppers DNP
• Kirby Falls Commnity Development
• Kirby Falls Community Development
• Life Changing Counseling, LLC
• Lifelink DME
• Sylvia Wood Lockamy
• Jonathan M Lutz, O.D.
• Ashleigh Shiela Matia, BSN,RN

• General Practice Dentistry in Wendell, NC
• Providers in Wendell, NC by specialty
• General Practice Dentistry in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.