Organization Active NPI

David P Robertson, DDS PA

  • General Practice Dentistry
  • Morehead City, NC
National Provider Identifier
1912100033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5421 Issued in NC
Legal business name
DAVID P ROBERTSON, DDS PA
Practice address
3002 Bridges St
Morehead City, NC 28557-3330
Phone
(252) 726-1461
Fax
(252) 726-2935
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Prince Robertson, DDSNPI 1508984212
Title
President
Phone
(252) 726-1461

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 SINGLE SPECIALTY GROUP 1223G0001X 5421 NC Primary

Addresses

Primary practice location

3002 Bridges St
Morehead City, NC 28557-3330

Mailing address

3002 Bridges St
Morehead City, NC 28557-3330
Phone (252) 726-1461

Other identifiers 1

IdentifierTypeStateIssuer
8997416MedicaidNC

National Provider Directory

National Provider Directory

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912100033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-726-1461",
            "fax_number": "252-726-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-726-1461",
            "fax_number": "252-726-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P ROBERTSON, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PRINCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-726-1461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997416",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.