Active NPI
Wade Louis Robirts, DT DO
- Other Specialist/Technologist
- Bend, OR
National Provider Identifier
1205041944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- DT DO 873997
- Practice address
- 600 NE Savannah Dr Ste 2
Bend, OR 97701-4873 - Phone
- (541) 318-7266
- Fax
- (541) 318-4629
- NPI assigned
- May 14, 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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | DT DO 873997 | OR | Primary |
Addresses
Primary practice location
600 NE Savannah Dr Ste 2
Bend, OR 97701-4873
Mailing address
600 NE Savannah Dr Ste 2
Bend, OR 97701-4873
Phone (541) 318-7266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129200 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT DO 873997 | OR | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205041944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NE SAVANNAH DR STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977014873",
"telephone_number": "541-318-7266",
"fax_number": "541-318-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NE SAVANNAH DR STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977014873",
"telephone_number": "541-318-7266",
"fax_number": "541-318-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIRTS",
"first_name": "WADE",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "DT DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "OR",
"license": "DT DO 873997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129200",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.