Individual provider Active NPI

Robert Holbrook Lund, D.D.S.

  • Endodontics
  • Bakersfield, CA
National Provider Identifier
1558494203
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
28036 Issued in CA
Practice address
2000 20TH St
Bakersfield, CA 93301-4216
Phone
(661) 334-1951
Fax
(661) 323-7334
NPI assigned
Mar 13, 2007
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 28036 CA Primary

Addresses

Primary practice location

2000 20TH St
Bakersfield, CA 93301-4216

Mailing address

2000 20TH St
Bakersfield, CA 93301-4216
Phone (661) 334-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160128002435 CA Order and Referring Only - DentistPractitioner - Dentist 9234432931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28036CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kiuftis & Simpson Dental Partnership Past Accepting new patients

Organizations & group practices 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1558494203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 20TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014216",
            "telephone_number": "661-334-1951",
            "fax_number": "661-323-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 20TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014216",
            "telephone_number": "661-334-1951",
            "fax_number": "661-323-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "ROBERT",
        "middle_name": "HOLBROOK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "28036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.