Active NPI
Daniel B. Robertson, M.D.
- Orthopaedic Surgery Physician
- Lincoln City, OR
National Provider Identifier
1720013519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD192188
- Practice address
- 825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241 - Phone
- (541) 996-7480
- Fax
- (541) 557-6439
- NPI assigned
- Jul 11, 2006
- Last updated
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | F-1941 | TX | |
| Orthopaedic Surgery Physician | 207X00000X | MD192188 | OR | Primary |
Addresses
Primary practice location
825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241
Mailing address
PO Box 1194
Corvallis, OR 97339-1194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205619-02 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drobertson166198@samhealth.direct-ci.com |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD192188 | OR | MD | Orthopaedic Surgery Physician |
| F-1941 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Hill Country Orthopaedics & Sports Medicine P.a. | Orthopaedic Surgery | Past | Accepting new patients |
| Samaritan North Lincoln Hospital | Past | Accepting new patients |
Interoperability endpoints
- drobertson@texashillcountryortho.mdlogic.direct-ci.com
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.
-
dba Samaritan Coastal Clinic
- Rural Health Clinic/Center
- Lincoln City, OR
- NPI 1396893327
-
- Orthopaedic Surgery Physician
- Fredericksburg, TX
- NPI 1184889255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1720013519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1194",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NW HIGHWAY 101 STE A",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973673241",
"telephone_number": "541-996-7480",
"fax_number": "541-557-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "DANIEL",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "F-1941",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD192188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205619-02",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drobertson166198@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "825 NW Highway 101 Ste A",
"city": "Lincoln City",
"state": "OR",
"country_code": "US",
"postal_code": "973673241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.