Robert Stephen Dye, M.D. Apc

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

A65562 Issued in CA

Legal business name

ROBERT STEPHEN DYE, M.D. APC

Practice address

29525 Canwood St
Suite 219
Agoura Hills, CA 91301-4233

Phone

(818) 865-8133

Fax

(818) 865-1223

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Stephen Dye, M.D.NPI 1215095179

Title

Owner

Phone

(818) 865-8133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Robert Stephen Dye, M.D.

  • Procedural Dermatology Physician
  • Agoura Hills, CA
  • NPI 1215095179
  Medicare reassignment NPD Authorized official
• Karan Ann Kortlander, N.P.

  • Dermatology Physician
  • El Segundo, CA
  • NPI 1174163703
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881728384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE 219",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-865-8133",
            "fax_number": "818-865-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE 219",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-865-8133",
            "fax_number": "818-865-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT STEPHEN DYE, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-865-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A65562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Helen Rittersdorf
• Camili Giselle Rivas
• Robert N Mettam PT and Timothy P Everitt PT Physical Therapists Inc
• Robert N. Mettam, P.T., Physical Therapist, Inc.
• Robert P Kahn-Rose, Inc.
• Janet E Robles, MFT
• Tinamarie Robles
• Nicole Renee Rocca, LMFT, PPS
• Cesar Rodriguez, PPS
• Randall Rodriguez, RPH

• Procedural Dermatology Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.