Organization Active NPI

Charlotte Roberson DDS., Inc

Doing business as Kidz Dental Care

  • Dental Clinic/Center
  • Northridge, CA
National Provider Identifier
1316170210
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
29997 Issued in CA
Legal business name
CHARLOTTE ROBERSON DDS., INC
Doing business as
Kidz Dental Care
Practice address
11239 Tampa Ave
Suite 208
Northridge, CA 91326-1615
Phone
(818) 368-6277
Fax
(818) 366-2491
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Charlotte Elizabeth Roberson, D.D.S.
Title
President
Phone
(818) 368-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 29997 CA Primary

Addresses

Primary practice location

11239 Tampa Ave
Suite 208
Northridge, CA 91326-1615

Mailing address

11239 Tampa Ave
Suite 208
Northridge, CA 91326-1615
Phone (818) 368-6277

Other names 1

  • Kidz Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

11239 Tampa Ave
Ste 208
Northridge, CA 91326
Phone (818) 368-6266

Practitioners & affiliated clinicians

Practitioners 3

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": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1316170210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 TAMPA AVE",
            "address_2": "SUITE 208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261615",
            "telephone_number": "818-368-6277",
            "fax_number": "818-366-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 TAMPA AVE",
            "address_2": "SUITE 208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261615",
            "telephone_number": "818-368-6277",
            "fax_number": "818-366-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE ROBERSON DDS., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-368-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "29997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.