Organization Active NPI

Patrick M. Roberson, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1821684846
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PATRICK M. ROBERSON, DDS, PA
Practice address
1407 Hillsborough St
Raleigh, NC 27605-1828
Phone
(919) 834-1432
Fax
(919) 977-3102
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Dr. Patrick McQuown Roberson, DDSNPI 1871571463
Title
President
Phone
(919) 241-7314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1407 Hillsborough St
Raleigh, NC 27605-1828

Mailing address

1407 Hillsborough St
Raleigh, NC 27605-1828
Phone (919) 834-1432

National Provider Directory

National Provider Directory

Locations

1407 Hillsborough St
Raleigh, NC 27605
Phone (919) 624-1150

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1821684846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051828",
            "telephone_number": "919-834-1432",
            "fax_number": "919-977-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051828",
            "telephone_number": "919-834-1432",
            "fax_number": "919-977-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M. ROBERSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MCQUOWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-241-7314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.