NPIMap

Organization Active NPI

David G. Roberts, M.D., LLC.

  • Clinic/Center
  • Lutherville, MD
National Provider Identifier
1306153887
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D0034988 Issued in MD
Legal business name
DAVID G. ROBERTS, M.D., LLC.
Practice address
10753 Falls Rd
Suite 255
Lutherville, MD 21093-4535
Phone
(410) 583-7979
Fax
(410) 847-3516
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Towanda Thornton
Title
Medical Secretary
Phone
(410) 583-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D0034988 MD Primary

Addresses

Primary practice location

10753 Falls Rd
Suite 255
Lutherville, MD 21093-4535

Mailing address

10753 Falls Rd
Suite 255
Lutherville, MD 21093-4535
Phone (410) 583-7979

National Provider Directory

National Provider Directory

Locations

10753 Falls Rd
Ste 255
Lutherville, MD 21093
Phone (410) 583-7979

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAEJDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1306153887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "SUITE 255",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-7979",
            "fax_number": "410-847-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "SUITE 255",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-7979",
            "fax_number": "410-847-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. ROBERTS, M.D., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_title_or_position": "MEDICAL SECRETARY",
        "authorized_official_telephone_number": "410-583-7979"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0034988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.