David Prince Robertson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5421 Issued in NC

Practice address

3002 Bridges St
Morehead City, NC 28557-3330

Phone

(252) 726-1461

Fax

(252) 726-2935

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David P Robertson, DDS PA

  • General Practice Dentistry
  • Morehead City, NC
  • NPI 1912100033
  NPD (past) Authorized official
• James T. Goots D.D.S., P.L.L.C.

  dba Reel Smiles

  • Dental Clinic/Center
  • Morehead City, NC
  • NPI 1093578320
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508984212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-726-1461",
            "fax_number": "252-726-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-726-1461",
            "fax_number": "252-726-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DAVID",
        "middle_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997416",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet P Ringer, PTA
• Alissa Nicole Robb
• Robert O. Barnum DC PA
• Gwendolyn Long Roberts, LCMHC
• Heather Jean Robertson Mloganoski, PHD
• Terry Campbell Robertson, LCSW
• Jerrol J Robinson, FNP-BC
• Samantha Robinson, AUD
• Renee Nicole Rogers, PHARMD, BCPS
• Tracy Clement Rogers, MS RD LDN

• Dentist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Dentist in North Carolina

• 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.