Individual provider Active NPI

Roberto Filippo Sabato, DMD

  • Dentist
  • Charlotte, NC
National Provider Identifier
1699303289
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
70302591 Issued in NC
Practice address
6406 Carmel Rd Ste 306
Charlotte, NC 28226-8267
Phone
(704) 542-9126
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 70302591 NC Primary

Addresses

Primary practice location

6406 Carmel Rd Ste 306
Charlotte, NC 28226-8267

Mailing address

4015 Foxmoor Dr
Charlotte, NC 28226-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200721001386 NC Order and Referring Only - DentistPractitioner - Dentist 6103240353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70302591NCMDDentist
11937NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1699303289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 FOXMOOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 CARMEL RD STE 306",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268267",
            "telephone_number": "704-542-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATO",
        "first_name": "ROBERTO",
        "middle_name": "FILIPPO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "70302591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.