Robert a Ebert, DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROBERT A EBERT, DDS

Practice address

910 W Ironwood Dr
Coeur D Alene, ID 83814-2601

Phone

(208) 664-2912

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Ebert, DDS

Title

Owner

Phone

(208) 664-2912

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Randal James Henneberg, D.D.S.

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1083846927
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1467684175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142601",
            "telephone_number": "208-664-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142601",
            "telephone_number": "208-664-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A EBERT, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-664-2912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000283400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200508/181205",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Riske
• Riverside Counseling, Inc
• Riverstone Dental Care
• Riverwood Counseling, LLC
• RMC Personal Care, LLC
• Kyle Allen Roberts, PHARMD
• Lesley Susanne Roberts, PA-C
• Jessica Robichaud, LMFT, LCPC
• Anita E Robinson, MD
• April Robinson, LMSW

• Dentist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.