Active NPI
Robert N Sharobiem, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DDS102681
- Practice address
- 72333 Highway 111 Ste B
Palm Desert, CA 92260-2790 - Phone
- (951) 237-7245
- NPI assigned
- Aug 14, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 055799 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS040134 | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS102681 | CA | Primary |
Addresses
Primary practice location
72333 Highway 111 Ste B
Palm Desert, CA 92260-2790
Mailing address
31056 Flying Cloud Dr
Laguna Niguel, CA 92677-2714
Phone (951) 237-7245
Other practice location 1
1856 Airport Rd
Allentown, PA 18109-9545
Phone (347) 560-1890
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Univ of Calif, San Francisco School of Dentistry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 Truxtun Ave
Suite 200
Bakersfield, CA 93309-7451
Phone (661) 863-9995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102681 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| DS040134 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 055799 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makan Dental Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Hoang Dental Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Hoang, Nguyen, & Lu Dental Corp | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Penasquitos Dental | Past | Accepting new patients |
Locations
5555 Truxtun Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 863-9995
401 W Felicita Ave
Escondido, CA 92025
Phone (760) 233-2260
4750 Oceanside Blvd
Ste A15
Oceanside, CA 92056
Phone (760) 466-0076
9912 Carmel Mountain Rd
Ste B
San Diego, CA 92129
Phone (858) 538-9182
41785 Nicole Ln
Ste A3
Temecula, CA 92591
Phone (951) 699-3250
Organizations & group practices 4
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Bakersfield, CA
- NPI 1790433001
-
- Oral and Maxillofacial Surgery (Dentist)
- Escondido, CA
- NPI 1548821572
-
- Oral and Maxillofacial Surgery (Dentist)
- San Diego, CA
- NPI 1548828221
-
- General Practice Dentistry
- San Diego, CA
- NPI 1124425830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1770898702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31056 FLYING CLOUD DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772714",
"telephone_number": "951-237-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72333 HIGHWAY 111 STE B",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602790",
"telephone_number": "951-237-7245"
}
],
"practiceLocations": [
{
"address_1": "1856 Airport Rd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181099545",
"country_code": "US",
"telephone_number": "347-560-1890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAROBIEM",
"first_name": "ROBERT",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-14",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "055799",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS040134",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "DDS102681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.