Individual provider Active NPI

Robert N Sharobiem, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm Desert, CA
National Provider Identifier
1770898702
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DDS102681 Issued in CA
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

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117001736 CA Practitioner - Maxillofacial Surgery 6103100672 Reassigns benefits to 3 organizations

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
Makan Dental CorporationGroup PAC ID 6709256456, 5 clinicians

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

LicenseStateTypeSpecialty
DDS102681CAMDOral and Maxillofacial Surgery (Dentist)
DS040134PAMDOral and Maxillofacial Surgery (Dentist)
055799NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Makan Dental Corporation Oral and Maxillofacial Surgery CurrentSince Mar 1, 2024 Accepting new patients
Hoang Dental Corporation Oral and Maxillofacial Surgery CurrentSince Sep 1, 2021 Accepting new patients
Hoang, Nguyen, & Lu Dental Corp Oral and Maxillofacial Surgery CurrentSince Sep 1, 2021 Accepting new patients
Penasquitos Dental PastSince Sep 1, 2021 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.

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

Verify at the official NPI Registry.