Theodore Milton Roberson II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7022 Issued in NC

Practice address

340 Dabney Dr
Henderson, NC 27536-4036

Phone

(252) 492-0073

Fax

(252) 492-0359

NPI assigned

Feb 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• T.M. Roberson, II DDS PLLC

  • Durable Medical Equipment & Medical Supplies
  • Henderson, NC
  • NPI 1083112387
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700912292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364036",
            "telephone_number": "252-492-0073",
            "fax_number": "252-492-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364036",
            "telephone_number": "252-492-0073",
            "fax_number": "252-492-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "THEODORE",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Frederick Riley, PA-C
• Rising Hope Healthcare Services Inc
• Rising Hope Homecare Agency LLC
• Damian Mark Rispoli, MD
• Jennifer Hope Roark, CRNA
• Neal Roberts, MD
• Sandrea Sheree Roberts
• Cynthia Kay Robinson, M.D.
• Anita E Rogers, PA-C
• Camilla Rogers, MA, LPA

• General Practice Dentistry in Henderson, NC
• Providers in Henderson, NC by specialty
• General Practice Dentistry 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.