Patrick McQuown Roberson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7918 Issued in NC

Practice address

1407 Hillsborough St
Raleigh, NC 27605-1828

Phone

(919) 834-1432

Fax

(919) 977-3102

NPI assigned

Jan 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Patrick M. Roberson, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1821684846
  NPD Authorized official
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Southeastern Dental Specialists

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1750495693
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871571463",
    "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": {
        "last_name": "ROBERSON",
        "first_name": "PATRICK",
        "middle_name": "MCQUOWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Vernon Robbins, M.D.
• Thomas Jerry Robbins, DMD
• Aqueelah B Roberson, RN, DNP, FNP-C
• Carrie Elizabeth Roberson, LMFT
• Mary Elizabeth Roberson
• Phyllis Marie Roberson, LPC, RN
• Salimah Roberson, PHLEBOTOMIST
• Sarah Roberson, PA
• Robert L Orander DDS PA
• Robert L Williamson III DDS 4 PA (Raleigh Comprehensive & Cosmetic Dentistry)

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 Mar 7, 2023; 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.