Individual provider Active NPI

Steven Derek Robertson, D.M.D.

  • Endodontics
  • Sanford, NC
National Provider Identifier
1538518840
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10934 Issued in NC
Practice address
709 Wicker St Ste a
Sanford, NC 27330-4168
Phone
(704) 523-0551
NPI assigned
Jun 7, 2016
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 10934 NC Primary

Addresses

Primary practice location

709 Wicker St Ste a
Sanford, NC 27330-4168

Mailing address

709 Wicker St Ste a
Sanford, NC 27330-4168
Phone (919) 842-5300

Other practice location 1

630 East St Unit No4
Pittsboro, NC 27312-9475
Phone (919) 704-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modlin & Londry XI DDS PLLC General Practice CurrentSince Oct 9, 2022 Accepting new patients

Locations

1613 Montford Dr
Charlotte, NC 28209
Phone (704) 523-0551

1613 Montford Dr
Ste A
Charlotte, NC 28209
Phone (704) 523-0551

Interoperability endpoints

  • Direct secure messaging: srobertson1024924@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1538518840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 WICKER ST STE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304168",
            "telephone_number": "919-842-5300",
            "fax_number": "919-709-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 WICKER ST STE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304168",
            "telephone_number": "704-523-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 East St Unit No4",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273129475",
            "country_code": "US",
            "telephone_number": "919-704-2828",
            "fax_number": "919-704-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "STEVEN",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "10934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.