Darrell Keith Roberson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4195 Issued in AL

Practice address

357 Office Park Dr
Birmingham, AL 35223-2409

Phone

(205) 871-2838

Fax

(205) 871-2238

NPI assigned

Apr 24, 2007

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Darrell K Roberson, DMD, PC

  • Dental Clinic/Center
  • Mountain BRK, AL
  • NPI 1437677226
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447479720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 OFFICE PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232409",
            "telephone_number": "205-871-2838",
            "fax_number": "205-871-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 OFFICE PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232409",
            "telephone_number": "205-871-2838",
            "fax_number": "205-871-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "DARRELL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Robbins III, LPC
• Lefferage Kent Robbins Jr., MD
• Lindsay Speros Robbins, M.D., M.P.H.
• Lindsey A Robbins, CRNP
• Todd Robbins
• Emily Powell Roberson
• Erik Roberson
• Glenn Roberson
• James Roberson, MD
• Jesse Roberson

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

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

Verify at the official NPI Registry.