Howard Lamar Robertson

Primary specialty

DentistTaxonomy code 122300000X

License

1912-80 Issued in MS

Practice address

60024 Olive St
Smithville, MS 38870-9719

Phone

(662) 651-7111

Fax

(662) 651-7115

NPI assigned

Feb 12, 2007

Last updated

Jul 17, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Access Family Health Services, Inc.

  • Community/Retail Pharmacy
  • Tremont, MS
  • NPI 1124618525
  NPD (past)
• Access Family Health Services, Inc.

  dba ACCESS Family Dental Clinic

  • Community Health Clinic/Center
  • Smithville, MS
  • NPI 1932219524
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1619018462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1697",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021697",
            "telephone_number": "662-614-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60024 OLIVE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388709719",
            "telephone_number": "662-651-7111",
            "fax_number": "662-651-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "HOWARD",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "1912-80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Draper, D.D.S., M.P.H.
• Michelle George, PHARMD
• James Mark Monroe, D.O.
• Alisha Marie Parham, FNP-C
• Mariah Reichenbach, DMD
• Smithville Pharmacy
• Jamesha Tumblin, NP
• Sara Vance, MS, RD, LD, CHES
• Neil R. Wanee, MD
• Clinton Washington, MD

• Dentist in Smithville, MS
• Providers in Smithville, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.